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Full text of "Child Abuse and Neglect in Missouri Annual Report for Calendar Year 2008"

\f Missouri Department of 

Social Services 

Your Potential. Our Support. 



Children's Division 



Child Abuse 
and Neglect 

Calendar Year 2008 
Annual Report 



Research and Evaluation 
August 2009 



Child Abuse and Neglect in Missouri 

Report for Calendar Year 2008 



Missouri Department of Social Services 

221 West High Street 

P.O. Box 1527 

Jefferson City, Missouri 65102-1527 



Department of Social Services 
Mission Statement 

To maintain or improve the quality of life for the people of the state of Missouri by 
providing the best possible services to the public, with respect, responsiveness and 
accountability, which will enable individuals and families to better fulfill their 
potential. 





Missouri Department of Social Services 

HILDREN 
L^> I VISION 

Prevention#Partnership#Protection 



Working with you in protecting Mieeouri'e children. 



Our Virion: 

Safety, health and well being for every Missouri child! 

Our Mleelon: 

To partner with families, communities and government to protect children 
from abuse and neglect and assure safety, permanency and well being for 
Missouri's children. 

Our Guiding Principle: 

PROTECTION - Children have a right to be safe and live free from 
abuse and neglect. 

PERMANENCY - Children are entitled to enduring, nurturing 
relationships that provide a sense of family, stability and belonging. 

PARTNERSHIP - Families, communities and government share the 
responsibility to create safe, nurturing environments for families to 
raise their children - only through working together can better 
outcomes be achieved. 

PRACTICE - The family is the basic building block of society and is 
irreplaceable. Building on their strengths, families are empowered to 
identify and access services that support, preserve and strengthen 
their functioning. 

PREVENTION - Families are supported through proactive, intentional 
activities that promote positive child development and prevent abuse 
and neglect. 

PROFESSIONALISM - Staff are valued, respected and supported 
throughout their career and in turn provide excellent service that 
values, respects and supports families. 



\f Missouri Department of 

1 SOCIAL SERVICES 

Your Potential. Our Support. 



JEREMIAH W. (JAY) NIXON, GOVERNOR • RONALD J. LEVY, DIRECTOR 



PAULA NEESE, DIRECTOR 

CHILDREN'S DIVISION 

P.O. BOX 88 • JEFFERSON CITY, MO 65103-0088 

WWW.DSS.MO.GOV • 573-522-8024 • 573-526-3971 FAX 



August 2009 



Dear Friends and Colleagues: 

Thank you for your interest and concern regarding child abuse and neglect in Missouri. 
We are pleased to inform you that the Children's Division is implementing a new data system, 
referred to as Family and Children Electronic System (FACES). This system is meeting federal 
requirements in Missouri's State Automated Information and Management System. This report 
illustrates information from our FACES system for all children reported, identified as well as 
served as a result of abuse and neglect reports or referrals addressed by the Missouri Children's 
Division. This report includes reports and referrals received during Calendar Year 2008. 
Additionally, the report includes a description of Missouri's unique, multiple-response system to 
responding to child abuse and neglect reports. For over ten years, the Children's Division has 
worked to enhance our family-centered, community-based practice through the use of family 
assessments. 

As evident in this report, there is a continued need for strong community support for 
Missouri's children and families. Through ongoing support of committed citizens, such as yourself, 
as well as community partnerships, we believe that our shared desires for the improvement and 
support of Missouri's children and families will be realized. 

Sincerely, 



Paula Neese, MA, LCSW 
Director 



relay missouri 

for hearing and speech impaired 

1-800-735-2466 voice • 1-800-735-2966 text phone 

An Equal Opportunity Employer, services provided on a nondiscriminatory basis. 



Contents 

Introduction 1 

Reports to the Child Abuse/Neglect Hotline 1 

Definitions 2 

Reports and Investigations/Family Assessments 4 

Child Abuse/Neglect Investigations/Family Assessments 4 

Reporters 8 

Substantiated Child Abuse/Neglect 10 

ChildDemographics 12 

Child Abuse/Neglect Fatalities 15 

Child Abuse/Neglect Fatality Demographics 17 

Perpetrator Information 18 

Perpetrator Demographics 18 

Child Protection System: Family Assessments/Investigations 20 

ChildDemographics 23 

Prevention/Treatment Services 26 

Appendices 31 

A. Reported Incidents by Region, County and Conclusion 32 

B. Reported Children by Region, County and Conclusion 34 

C. Family Assessment Incidents by Region, County and Conclusion 36 

D. Family AssessmentChildrenbyRegion, County and Conclusion 38 

E. Substantiated Incidents by Region, County, and Category of Abuse/Neglect 40 

F. Substantiated Childrenby Region, County, and Category of Abuse/Neglect 44 

G. Substantiated Child Abuse/Neglect Fatalities by Region and County 48 



Introduction 



This report compiles data collected by the Missouri Department of Social Services (DSS), Children's Division 
(CD) in the course of Child Abuse and/or Neglect (CA/N) investigations/assessments. The datais current as 
of May 2009. As aresult of pending investigations or changes in conclusions, the datais prone to change. 

Reports to the Child Abuse/Neglect Hotline 

Over the past year, the Child Abuse/Neglect Hotline Unit (CANHU) received 50,565 reports of child 
abuse/neglect, involving 75,781 children. The CANHU is operated year-round on a 24 hours per day, 
seven days per week basis by 50 trained and experienced Children's Service Workers. Missouri's toll- 
free number for reporting child abuse/neglect is 1-800-392-3738. 

When a call is received at the CANHU, information is analyzed to determine whether: 

• the child i s under age 1 8 ; 

• the alleged perpetrator has care, custody and control of the child; and 

• the report meets the legal definition of abuse and/or neglect as stipulated in 2 10. 1 1 0, RSMo (see 
definitions on page 2). 

Within moments of receiving a report, the information is forwarded electronically to one of the 114 county 
offices or the St. Louis City office for investigation/assessment. Investigations/assessments must be 
initiated within 24 hours or immediately when it is determined that the child is in imminent danger. 
Exceptions are when the only allegation is educational neglect or the allegation is an old allegation and the 
child is protected. In this case, an investigation/assessment must be initiated within 72 hours. Children's 
Service Workers have 30 days to complete their investigations/assessments. 

A call to the hotline is referred to as areport or reported incident of child abuse/neglect. A report may 
involve from one to several children. Compared to 2007, the number of reports decreased in 2008 . 



Incidents and Children Reported to the Child Abuse/Neglect Hotline 
and Annual Percent Change, 2004-2008 



Year 


Total 
Reports 


Annual 
Change 


Total 
Children 


Annual 
Change 


2004 


56,111 




84,590 




2005 


54,108 


-3.6% 


80,577 


-4.7% 


2006 


51,383 


-5.0% 


75,474 


-6.3% 


2007 


52,979 


3.1% 


77,481 


2.7% 


2008 


50,565 


-4.6% 


75,781 


-2.2% 



Note: All counts of children are duplicated because a child may be reported more than once during the year. 



Missouri Child Abuse/Neglect, 2008 



Page 1 



Introduction 



Definitions 
Legal: 

The Missouri Child Abuse Law, Section 2 1 0. 1 1 RSMo defines: 

Abuse as any physical injury, sexual abuse, or emotional abuse inflicted on a child other than by 
accidental means by those responsible for the child's care, custody, and control, except that discipline 
including spanking, administered in a reasonable manner, shall not be construed to be abuse; and 

Neglect as failure to provide, by those responsible for the care, custody, and control of the child, the 
proper or necessary support, education as required by law, nutrition or medical, surgical, or any other 
care necessary for the child's well-being. 

Care, custody and control of the child, includes but is not limited to the parents or guardian of a child, 
other members of the child's household, or those exercising supervision over achild for any part of a 
twenty-four hour day. Those responsible for the care, custody and control shall also include any adult 
who, based on their relationship to the parents of the child, members of the child's household or the family, 
has access to the child. 

Investigation is the collection of physical and verbal evidence to determine if a child has been abused 
orneglected. 

Family assessment and services is an approach which provides for aprompt assessment of a child 
and their family when the child has been reported to the CD as a victim of abuse or neglect by aperson 
responsible for that child's care, custody or control. Family assessments include the provision of 
community-based services to reduce the risk of abuse and neglect and to support the family. This 
approach takes the place of the traditional investigation. 

Operational: 

At the end of each child abuse/neglect investigation/assessment, the Children's Service Worker reaches a 
conclusion. The following are operational definitions for investigative conclusions: 

Substantiated: A finding that abuse/neglect has occurred or is occurring as aresult of the observation 
of visible signs, physical and/or credible verbal evidence provided to the Children's Service Worker by 
the child, perpetrator or witnesses in accordance with the definitions of abuse/neglect. This includes 
cases which are adjudicated by the courts and those with preponderance of evidence. 

Unsubstantiated-Preventive Services Indicated: A finding that insufficient visible signs, physical 
and/or credible evidence exist, but where the Children's Service Worker determines that indicators are 
present which, if unresolved, could potentially contribute to child abuse/neglect. 

Unsubstantiated: A finding that insufficientphy sical or credible verbal evidence exists and where few 
or no indicators are identified and the social worker has not identified a specific threat exists for the child. 

The following are definitions for Family Asses sment conclusions : 

Services Needed: The family has an identified need for services . CD will continue to work with the 
family after the assessment is completed and will continue providing services for someperiod of time. 

Services Needed-Linked Initial 30 Days : The family has an identified need for community services . 
The identified services were linked with the family during the 30-day family as ses sment proces s . CD 
will not continue working with the family when the family assessment process is completed. The 
Children's Service Worker should contactreferral providers to verify thatthe family is receiving services. 

Page 2 Missouri Child Abuse/Neglect, 2008 



Introduction 



Services Needed-Family Declined: The Children's Service Worker has identified a service that may 
be beneficial to the family; however, the family declined to receive the services. The child's safety has 
been assessed, and there is no evidence that warrants court intervention. 

Services Not Needed: The family does not have an identified need for additional services. Families 
may be receiving services prior to the date of the hotline. Services Not Needed is used only when the 
family does not have additional service needs . 

Non-cooperative/Child Safe: Enough information has been obtained to ensure that the child is safe; 
however, the family refuses to participate in the family assessmentprocess and the allegations do not 
warrant a co-investigation with law enforcement or court involvement. 

For a small number of reports, the above definitions are not applicable. Other conclusions for either 
investigations or assessments include Unable to Locate, Inappropriate Report, Located Out of State, 
Home Schooling, and School Investigation by School Board (Substantiated, Unsubstantiated, 
Unresolved). 

Methodological: 

The following are technical definitions used in the computations of the statistics throughout this report: 

Reported incident: An allegation of child abuse/neglect made to the hotline which meets the legal 
definitions for abuse/neglect and for care, custody, and control. A reported incident may involve more 
than one child and more than one alleged perpetrator. The terms "report, " "incident" and "reported 
incident" are used interchangeably throughout this report. 

Incident conclusion: TheChildren's Service Worker assigns aconclusionforeach child and foreach 
alleged perpetratorinvolved in an incident. If atleastonechildis substantiated, the incidentis considered 
to be substantiated. 

Incident category of abuse/neglect: Up to fifty findings of abuse/neglect can be assigned to each 
substantiated child. Each incident may have up to six categories of abuse/neglect because each child 
maybe substantiatedfordifferenttypes of abuse/neglect. For incidents involving more than one child, 
each category of abuse/neglect is counted once if at least one child was substantiated for that category. 

Reported child: A child named in areported incident of child abuse/neglect. A child may be reported 
more than one time during the year, and unless otherwise indicated, counts of children are duplicated 
in this report. 

Child conclusion: The Children's Service Worker assigns aconclusion foreach child involved in an 
incident. For example, some children in the report may be substantiated while others may be 
unsubstantiated. 

Child category of abuse/neglect: Each substantiated child may be assigned up to six categories of 
abuse/neglect. 

Alleged perpetrator: A person named as the perpetrator in a reported incident of child abuse/neglect. 
An alleged perpetrator may be involved in more than one incident during the year. Unles s otherwise 
indicated, counts of alleged perpetrators are duplicated in this report. 

Alleged perpetrator conclusion: The Children's Service Worker assigns a conclusion to each 
alleged perpetratorinvolved in an incident. One perpetrator in areport may be substantiated while 
another may be unsubstantiated. 

Missouri Child Abuse/Neglect, 2008 Page 3 



Reports and Investigations/Family Assessments 

Child Abuse/Neglect Investigations/Family Assessments 

Children's Service Workers investigate/assess eachreport to determine if abuse/neglect is occurring or has 
occurred and evaluate the family's need for services. Thorough investigations/assessments require hours 
of interviews and information collection, and usually include the major steps listedbelow: 

Contacting the reporter, if known, for additional information before proceeding with the investiga- 
tion; 

Contacting appropriate law enforcement personnel or multidisciplinary team members to request 
a co-investigation if the alleged report, if true, would constitute a violation of the law; 

Making a determination regarding the safety of the children within 24 hours, or immediately, if 
deemed as an emergency; 

Contacting the School District Liaison when the victim in the child abuse/neglect report is school- 
aged; 

Determining the safety of all other children in the household within 72 hours; 

Consulting with the Chief Investigator within 72 hours; 

Contacting collateral persons; 

Interviewing witnesses ; 

Interviewing the non-offending parent; 

Interviewing the alleged perpetrator(s); 

Evaluating and documenting all information collected and observed; 

Determining whether abuse/neglect has occurred oris occurring; 

Evaluating the family's need for services and making appropriate referrals for needed services ; and 

Notifying the child's parent(s), alleged perpetrator, School District Liaison and if applicable, the 
Mandated reporter of the report conclu sion and related finding s . 

CD policy requires completion of investigations/assessments within 30 days. When the Children's Service 
Worker determines that there is reasonable cause to believe that abuse/neglect has occurred, or is 
occurring, the family is advised of available services. The family also is offered services when the 
investigative conclusion is Unsubstantiated-Preventive Services Indicated or when a Family Assessment 
indicates the need for services. 



Page 4 Missouri Child Abuse/Neglect, 2008 



Reports and Investigations/Family Assessments 

Reported Incidents by Conclusion, 2004 - 2008 









Unsub stantiated- 






Family 










Substantiated 


PSI 


Unsubstantiated 


Assessment 


Other 


Total 


Number 


Percent 


Number 


Percent 


Number 


Percent 


Number 


Percent 


Number 


Percent 


2004 


6,820 


12.2% 


2,675 


4.8% 


12,529 


22.3% 


31,673 


56.4% 


2,414 


4.3% 


56,111 


2005 


5,812 


10.7% 


2,408 


4.5% 


11,355 


21.0% 


31,099 


57.5% 


3,434 


6.3% 


54,108 


2006 


5,283 


10.3% 


2,428 


4.7% 


13,389 


26.1% 


26,313 


51.2% 


3,970 


7.7% 


51,383 


2007 


4,803 


9.1% 


3,083 


5.8% 


14,964 


28.2% 


26,886 


50.7% 


3,243 


6.1% 


52,979 


2008 


4,131 


8.2% 


2,961 


5.9% 


14,497 


28.7% 


26,144 


51.7% 


2,832 


5.6% 


50,565 



Reported Children by Conclusion, 2004 - 2008 





Substantiated 


Unsub stantiated- 
PSI 


Unsubstantiated 


Family 
Assessment 


Other 


Total 


Number 


Percent 


Number 


Percent 


Number 


Percent 


Number 


Percent 


Number 


Percent 


2004 
2005 
2006 
2007 
2008 


9,643 

8,158 
7,222 
6,576 
6,732 


11.4% 

10.1% 

9.6% 

8.5% 

8.9% 


3,910 

3,571 
3,443 
4,457 
4,478 


4.6% 
4.4% 
4.6% 
5.8% 
5.9% 


18,333 
16,350 
19,545 

21,853 
21,413 


21.7% 
20.3% 
25.9% 
28.2% 
28.3% 


49,139 
47,379 
39,154 
39,877 
38,896 


58.1% 
58.8% 
51.9% 
51.5% 
51.3% 


3,565 
5,119 
6,110 

4,718 
4,262 


4.2% 
6.4% 
8.1% 
6.1% 
5.6% 


84,590 
80,577 
75,474 
77,481 
75,781 



Reported Incidents and Children by Conclusion, 2004 - 2008 



90,000 
80,000 H 
70,000 
60,000 H 
50,000 
40,000 
30,000 
20,000 
10,000 




Reports Children Reports Children Reports Children Reports Children Reports Children 

2004 2005 2006 2007 2008 

□ Substantiated ■ Unsub. -PSI H Unsub. DFA □ Other 



Conclusions are as follows: Substantiated - Court Adjudicated and Preponderance of Evidence; Unsub. -PSI - Unsubstantiated-Preventive 
Services Indicated; Unsub. - Unsubstantiated; FA - Family Assessment: Services Needed, Services Not Needed, Non-cooperative/Child Safe, 
Services Needed-Linked Initial 30 Days, and Services Needed-Family Declined; Other - Unable to Locate, Inappropriate Report, Located 
Out of State, and Home Schooling 



Missouri Child Abuse/Neglect, 2008 



Page 5 



Reports and Investigations/Family Assessments 




' Reported Incidents by FA Conclusion, 2004 -2008 N 










Services 


Services 






Services 


Services 


Non- 


Needed - Linked 


Needed - 






Needed 


Not Needed 


Cooperative 


Initial 30 Days 


Declined 


Total 


Number 


Percent 


Number 


Percent 


Number 


Percent 


Number 


Percent 


Number 


Percent 


2004 


4,834 


15.3% 


20,031 


63.2% 


883 


2.8% 


5,148 


16.3% 


777 


2.5% 


31,673 


2005 


4,734 


15.2% 


19,646 


63.2% 


814 


2.6% 


5,106 


16.4% 


799 


2.6% 


31,099 


2006 


3,249 


12.3% 


17,800 


67.6% 


757 


2.9% 


3,932 


14.9% 


575 


2.2% 


26,313 


2007 


3,274 


12.2% 


18,790 


69.9% 


686 


2.6% 


3,529 


13.1% 


607 


2.3% 


26,886 


2008 


3,306 


12.6% 


18,546 


70.9% 


613 


2.3% 


3,095 


11.8% 


584 


2.2% 


26,144 


Reported Children by FA Conclusion, 2004 - 2008 










Services 


Services 






Services 


Services 


Non- 


Needed - Linked 


Needed - 






Needed 


Not Needed 


Cooperative 


Initial 30 Days 


Declined 


Total 


Number 


Percent 


Number 


Percent 


Number 


Percent 


Number 


Percent 


Number 


Percent 


2004 


8,138 


16.6% 


30,996 


63.1% 


1,309 


2.7% 


7,485 


15.2% 


1,211 


2.5% 


49,139 


2005 


7,517 


15.9% 


29,926 


63.2% 


1,222 


2.6% 


7,483 


15.8% 


1,231 


2.6% 


47,379 


2006 


5,098 


13.0% 


26,456 


67.6% 


1,070 


2.7% 


5,619 


14.4% 


911 


2.3% 


39,154 


2007 


5,040 


12.6% 


27,834 


69.8% 


999 


2.5% 


5,044 


12.6% 


960 


2.4% 


39,877 


2008 


5,320 


13.7% 


27,364 


70.4% 


869 


2.2% 


4,447 


11.4% 


896 


2.3% 


38,896 


v y 



Reported Incidents and Children by FA Conclusion, 2004 - 2008 



60,000 n 
50,000 
40,000 -\ 
30,000 
20,000 
10,000 
















_ 






















, 




_ 












, 



























































Reports Children Reports Children Reports Children Reports Children Reports Children 
2004 2005 2006 2007 2008 



D Services Needed 

■ Non-Cooperative 

■ Services Needed - Declined 



D Services Not Needed 

□ Services Needed - Linked Initial 30 Days 



Page 6 



Missouri Child Abuse/Neglect, 2008 



Reports and Investigations/Family Assessments 

2008 Child Abuse/Neglect Reports and Children by Month of Report 




Jan 
-A- Reports 4,551 



Feb Mar Apr 
3,954 4,397 4,928 



May 
4,546 



Jun Jul Aug 
3,533 3,774 3,914 



Sep Oct Nov 
4,799 4,603 3,772 



Dec 

3,794 



Children 6,725 



5,832 6,582 7,187 



6,648 



5,555 5,949 6,113 



7,218 6,892 5,505 



5,575 



During 2008 , the month with the most reports was April with 4,928 reports (7,187 children) . June had the fewest 
number of reports and children with 3,533 and 5,555, respectively . 

2008 Child Abuse/Neglect Children by 
Number of Incidents Reported in the Same Year 



60,000 1 
50,000- 
40,000- 
30,000- 
20,000- 
10,000- 



3 



& £7 Z7 £7 £7, 



0- 


1 


2 


3 


4 


5 


6 


>=7 


□ Children 


53,173 


5,961 


639 


378 


160 


110 


44 



In 2008, a duplicated number of 75,78 1 children were reported. Unduplicated this number reduces to 60,465 
children. Of those children, 53,173 had one report during the year. The remaining 7,292 children had more than 
one report during 2008 . 



Missouri Child Abuse/Neglect, 2008 



Page 7 



Reports and Investigations/Family Assessments 

Reporters 

Reports of child abuse/neglect can be made by persons who are either "mandated' ' or ' 'permissive" reporters . 
Mandated reporters are required by state statute to report abuse/neglect when they have reasonable cause to 
suspect a child has been oris being abused. Mandatedreporters include health and education professionals, 
social workers and foster parents , among others . Permi s si ve reporters are those people not required to report 
suspected abuse/neglect, such as relatives or neighbors. Effective August 28, 2003, Christian Science 
practitioners were addedtothedefinition of ministers withregardto the indvidualsrequiredto report incidents 
of suspected child abuse/neglect. Minister is defined as "any person while practicing as aminister of the gospel, 
clergyperson, priest, rabbi, Christian Science practitioner, or other person serving in a similar capacity for any 
religious organization who is responsible for or who has supervisory authority over one who is responsible for 
thecare, custody, and control of achild or has access to achild", section 352.400, RSMo. 

Fifty-eight percent (58%) of the reports made in 2008 were made by mandated reporters and thirty -eight 
percent (38%) were made by permissive reporters. 

Child Abuse/Neglect Reporters by Type of Reporter, 2008 



Unknown 

4% 

(1,917) 

Permissive 

38% 
(21,032) 

Mandated 

58% 
(31,785) 




RSMo 210.115. Reports of abuse or neglect, who shall make. - When any physician, medical 
examiner, coroner, dentist, chiropractor, optometrist, podiatrist, resident, intern, nurse, 
hospital or clinic personnel that are engaged in the examination, care, treatment, or 
research of persons, and any other health practitioner, psychologist, mental health 
professional, social worker, day care center worker or other child care worker, juvenile 
officer, probation or parole officer, jail or detention center personnel, teacher, principal 
or other school official, minister as provided by section 352.400, RSMo, peace officer or law 
enforcement official, or other person with responsibility for the care of children, has 
reasonable cause to suspect that a child has been or may be subjected to abuse or neglect 
or observes a child being subjected to conditions or circumstances which would reasonably 
result in abuse or neglect, that person shall immediately report or cause a report to be made 
to the division in accordance with the provisions of sections 210.109 to 210.183. 

Page 8 Missouri Child Abuse/Neglect, 2008 



Reports and Investigations/Family Assessments 



The most common mandated reporter occupation was school official, followed by social worker and law 
enforcement officers . 



Reporters of Child Abuse/Neglect by Occupation, 2008 





Number 




Percent 


Permissive 


21,032 




38.4% 


Principal or other school official 


7,412 




13.5% 


Social worker 


6,925 




12.7% 


Peace officer or law enforcement official 


6,484 




11.8% 


Nurse 


2,745 




5.0% 


Mental health professional 


2,274 




4.2% 


Unknown 


1,917 




3.5% 


Other person with responsibility for care of children 


1,496 




2.7% 


Teacher 


1,196 




2.2% 


Juvenile officer 


797 




1.5% 


Physician 


726 




1.3% 


Day care center or other child care worker 


628 




1.1% 


Psychologist 


324 




0.6% 


Other hospital/clinic personnel 


192 




0.4% 


Other health practitioner 


156 




0.3% 


Foster parents 


124 




0.2% 


Probation or parole officer 


96 




0.2% 


Medical examiner 


53 




0.1% 


Minister 


53 




0.1% 


Intern 


41 




0.1% 


Dentist/Dental hygienist 


22 




0.0% 


Coroner 


18 




0.0% 


Jail or detention personnel 


17 




0.0% 


Resident 


5 




0.0% 


Chiropractor 


1 




0.0% 


Optometrist 







0.0% 



Note: Reporters exceed reports because more than one person may report an incident. 



Missouri Child Abuse/Neglect, 2008 



Page 9 



Substantiated Child Abuse/Neglect 



During the year, 6,732 children were involved in incidents that were substantiated for abuse or neglect. When 
a Children's Service Worker determines there is reasonable cause that abuse/neglect has occurred, each child 
can be assigned up to six categoriesof abuse/neglect. As the graph below indicates, the mostprevalent category 
is neglect folio wed by physical abuse and sexual abuse. 

Substantiated Children by Category of Abuse/Neglect, 2008 

43.8% 



45% 
40% 
35% 
30% 
25% 
20% 
15% 
10% 
5% 
0% 



26.0% 



23.1% 



V 




3.0% L4% 

, / 



Neglect Physical Sexual Abuse Emotional Medical Educational 

Abuse Maltreatment Neglect Neglect 



Substantiated Children by Category of Abuse/Neglect, 2008 





Number 


Percent 


Neglect 


2,947 


43.8% 


Physical Abuse 


1,752 


26.0% 


Sexual Abuse 


1,556 


23.1% 


Emotional Maltreatment 


353 


5.2% 


Medical Neglect 


199 


3.0% 


Educational Neglect 


93 


1.4% 



Percent is the percentage of total substantiated children. Percent total is greater than 1 00 because a child may be substantiated 
for up to six categories of abuse/neglect. 



Page 10 



Missouri Child Abuse/Neglect, 2008 



Substantiated Child Abuse/Neglect 



Information gathered during an investigation of child abuse/neglect can help identify factors which place a child 
atriskfor abuse/neglect. In addition toestablishinganinvestigativeconclusionforeach child, Children's Service 
Workers may designate up to four Observed Family Characteristics for each reported incident. For families 
where abuse/neglect is found, these characteristics may indicate which services could help prevent the 
reoccurrence of abuse/neglect. It is important to note thatthese are not absolutecounts. For instance, aproblem 
with alcohol or other drugs may be difficult to detect during the course of an investigation. 

The family characteristics reported in 2008 are similar to those reported during the last five years. Fifty-one 
percent (51%) of the families involved in substantiated incidents had adequate living conditions . Forty-two 
percent (42%) of the substantiated incidents involved families that were amenable to services . The top twenty 
family characteristics are listed below. 



Characteristics of Families Involved in Substantiated Incidents, 2008 





Number 


Percent 


Adequate living conditions 


2,089 


50.6% 


Amenable to services 


1,720 


41.6% 


Extended family support system 


1,583 


38.3% 


Lack of parenting skills 


1,172 


28.4% 


Single parent household 


1,107 


26.8% 


Community/cultural support 


722 


17.5% 


Appropriate parenting skills 


591 


14.3% 


Other drug-related problem(s) 


504 


12.2% 


Domestic violence 


451 


10.9% 


Heavy continuous child care reponsibility 


395 


9.6% 


Appropriate child development knowledge 


373 


9.0% 


Insufficient/misuse of income 


332 


8.0% 


Dangerous living conditions 


324 


7.8% 


Recent/frequent relocation 


320 


7.7% 


Alcohol-related problem(s) 


278 


6.7% 


Crowded living conditions 


276 


6.7% 


Recent loss/addition to household members 


274 


6.6% 


New baby in home/pregnancy 


261 


6.3% 


Marital problems 


240 


5.8% 


Loss of employment 


234 


5.7% 



Percent is the percentage of total substantiated incidents. Percent total is greater than 100 because up to four family 
characteristics may be reported for each incident. 



Missouri Child Abuse/Neglect, 2008 



Page 11 



Substantiated Child Abuse/Neglect 



Child Demographics 



Age 



Child Abuse/Neglect Children, 2008 



Substantiated Neglect Physical Abuse 

Number Percent Number Percent Number Percent 



Sexual Abuse 
Number Percent 



<1 


498 


7.4% 


318 


9.3% 


170 


10.1% 


4 


0.3% 


1 


432 


6.4% 


331 


9.7% 


91 


5.4% 


8 


0.5% 


2 


460 


6.8% 


350 


10.2% 


92 


5.5% 


11 


0.7% 


3 


405 


6.0% 


282 


82% 


71 


4.2% 


45 


2.9% 


4 


405 


6.0% 


244 


7.1% 


93 


5.5% 


59 


3.8% 


5 


420 


6.2% 


215 


6.3% 


106 


6.3% 


92 


6.0% 


6 


395 


5.9% 


208 


6.1% 


107 


6.4% 


75 


4.9% 


7 


386 


5.7% 


180 


5.3% 


107 


6.4% 


93 


6.0% 


8 


376 


5.6% 


172 


5.0% 


87 


5.2% 


113 


7.3% 


9 


291 


4.3% 


138 


4.0% 


54 


3.2% 


94 


6.1% 


10 


334 


5.0% 


138 


4.0% 


82 


4.9% 


106 


6.9% 


11 


326 


4.8% 


147 


4.3% 


81 


4.8% 


93 


6.0% 


12 


293 


4.4% 


122 


3.6% 


65 


3.9% 


101 


6.6% 


13 


374 


5.6% 


135 


3.9% 


99 


5.9% 


136 


8.8% 


14 


419 


6.2% 


141 


4.1% 


117 


6.9% 


160 


10.4% 


15 


407 


6.0% 


127 


3.7% 


119 


7.1% 


157 


10.2% 


16 


358 


5.3% 


123 


3.6% 


102 


6.1% 


132 


8.6% 


17 


144 


2.1% 


47 


1.4% 


38 


2.3% 


57 


3.7% 


Unknown 


9 


0.1% 
100.0% 


4 
3,422 


0.1% 
100.0% 


3 
1,684 


0.2% 
100.0% 


2 
1,538 


0.1% 


Total 


6,732 


100.0% 


Sex 












Male 


2,939 


43.7% 


1,721 


50.3% 


898 


53.3% 


274 


17.8% 


Female 


3,791 


56.3% 


1,701 


49.7% 


785 


46.6% 


1,263 


82.1% 


Unknown 


2 


0.0% 
100.0% 




3,422 


0.0% 
100.0% 


1 
1,684 


0.1% 
100.0% 


1 
1,538 


0.1% 


Total 


6,732 


100.0% 


Race 










White 


5,288 


78.6% 


2,734 


79.9% 


1,246 


74.0% 


1,239 


80.6% 


Black 


1,262 


18.7% 


605 


17.7% 


386 


22.9% 


255 


16.6% 


Asian 


20 


0.3% 


8 


0.2% 


5 


0.3% 


7 


0.5% 


Native American 


17 


0.3% 


6 


0.2% 


7 


0.4% 


4 


0.3% 


Other 


61 


0.9% 


39 


1.1% 


9 


0.5% 


11 


0.7% 


Unknown 


84 


1.2% 
100.0% 


30 

3,422 


0.9% 
100.0% 


31 
1,684 


1.8% 
100.0% 


22 
1,538 


1.4% 


Total 


6,732 


100.0% 



In 2008, forty-four percent (44%) of the substantiated children were male, and fifty-six percent (56%) were 
female. Unlike neglected and physically abused children, where a majority were male, the majority of 
sexually abused children were female. 

Approximately three-fourths of the substantiated children were white and one-fifth were black. The 
majority of neglected, physically abused, and sexually abused victims were white followedby black victims . 



Page 12 



Missouri Child Abuse/Neglect, 2008 



Substantiated Child Abuse/Neglect 



Child Abuse/Neglect Children by Month of Report, 2008 



-♦ — Substantiated 
-A— Neglect 




■Physical Abuse 



■Sexual Abuse 



Most substantiated incidents were reported in April with 65 8 children. The lowest number of substantiated 
children (436) were reported in November. The highest incidence of neglect, physical abuse, and sexual abuse 
occurred in August (345), October( 168), and April ( 1 66) children, respectively. The lowest occurrences of 
neglect, physical abuse, and sexual abuse were in November, August and November with 202, 111, and 94, 
respectively. 

In addition to assigning categories of abuse or neglect, a Children's Service Worker may also describe up to fifty 
specific finding s of abu se . For neglected children the mo st frequent worker descriptions are tho se typically 
associated with neglect, such as a lack of supervision and unsanitary living conditions. The ten most frequently 
reported worker findings for neglected children are listed below. 





Worker Findings for Neglected Children, 2008 










Number 


Percent 






Lack of supervision 


1,529 


54.3% 






Unsanitary living conditions 


709 


25.2% 






Unsafe/inadequate shelter 


646 


22.9% 






Failure to protect 


409 


14.5% 






Blaming, verbal abuse, threatening 


190 


6.7% 






Lack of food 


162 


5.7% 






Poor hygiene (health threatening) 


149 


5.3% 






Untreated illness/injury 


142 


5.0% 






Rejection through indifference 


92 


3.3% 






Methamphetamine lab exposure 


90 


3.2% 




Percent i 
findings 


; the percentage of total neglected children. Percent total is greater than 100 because a worker 
r or each child. 


nay list up to fifty 


specific 



Missouri Child Abuse/Neglect, 2008 



Page 13 



Substantiated Child Abuse/Neglect 



For physically abused children, the most frequently reported worker findings were bruises, welts or red marks 
andotherphysicalabuseorinjury. Lack of supervison is also cited quite frequently, suggesting that neglect may 
occur in some abusive situations. The ten most often reported worker findings forphysically abused children 
are listed below. 



Worker Findings for Physically Abused Children, 2008 





Number 


Percent 


Bruises, welts, red marks 


892 


53.0% 


Other physical abuse or injury 


292 


17.3% 


Abrasions, lacerations 


164 


9.7% 


Other 


88 


5.2% 


Inappropriately giving drugs 


81 


4.8% 


Unsafe/inadequate shelter 


73 


4.3% 


Fractures (Other than Skull) 


65 


3.9% 


Lack of supervision 


61 


3.6% 


Methamphetamine lab exposure 


52 


3.1% 


Wounds, cuts, punctures 


43 


2.6% 



Percent is the percentage of all physically abused children. Percent total is greater than 100 because a worker may list up to 
fifty specific findings for each child. 



For sexually abused children, the most frequently reported worker finding was fondling or touching followed by 
other sexual abuse. The ten most often reported worker findings for sexually abused children are listed below. 



Percent 
. fifty sp< 


Worker Findings for Sexually Abused Children, 2008 




up to 




Number 


Percent 


Fondling/touching 


937 


60.9% 


Other sexual abuse 


449 


29.2% 


Oral sex, sodomy 


367 


23.9% 


Intercourse 


312 


20.3% 


Digital penetration 


266 


17.3% 


Pornography 


67 


4.4% 


Inappropriately giving drugs 


35 


2.3% 


Failure to protect 


24 


1.6% 


Verbal abuse 


17 


1.1% 


Lack of supervision 


16 


1.0% 


is the percentage of all sexually abused children. Percent total is greater than 100 because 
;cific findings for each child. 


a worker may list 



Page 14 



Missouri Child Abuse/Neglect, 2008 



Substantiated Child Abuse/Neglect 



Child Abuse/Neglect Fatalities 

The number of substantiated fatalities in 2008 decreased compared to 2007 . Thirty children died as a result of 
child abuse/neglect in 2008 , compared to forty- six in 2007 . 

These figures only represent children whose deaths are brought to the attention of CD. Recent media attention, 
both on a state and national level, has focused on children whose deaths were never brought to the attention of 
the proper authorities despite the suspicious nature of their deaths. Whenfatalchildabuse goes undetected, other 
children in the home and community remain at risk. 

Effective August 28, 2000, if the medical examiner or coroner determines that the child died of natural causes 
while under medical care for an established natural disease, the coroner, medical examiner, or physician shall 
notify the division of the child's death. In all other cases, the medical examiner or coroner shall accept the report 
for investigation, shall immediately notify the division of the child's death as required under section 5 8 .452, 
RSMo, and shall report the findings to the child fatality review panel established pursuant to section 210.192, 
RSMo. 

The number of fatalities reported during any given year may change as aresult of pending investigations, changes 
in conclusions, and deaths notreported in atimely manner. 

Substantiated Fatalities, 2004 - 2008 



50n 

45- 

40- 

35- 

30 

25- 

20- 

15 

10 

5- 





46 



42 



32 



LP 



27 



in 



J 



30 



J 



__p^ 



2004 



2005 



2006 



2007 



2008 



Missouri Child Abuse/Neglect, 2008 



Page 15 



Substantiated Child Abuse/Neglect 



90% n 

80%- 
70%- 
60%- 
50%- 
40%- 
30%- 
20%- 
10%- 
0% ^ 



Substantiated Fatalities by Category of Abuse/Neglect, 2008 

90.0% 




50.0% 



IV 



36.7% 




6.7% 



0.0% 




Physical Neglect Emotional Medical Sexual Abuse 

Abuse Maltreatment Neglect 



A majority, ninety percent (90%), of the CA/N fatalities were caused, at least inpart, by physical abuse. Neglect 
was present in fifty percent (50%) of the CA/N fatalities. Emotional maltreatment, medical neglect, and sexual 
abuse also contributed to some child fatalities . 



Substantiated Fatalities by Category of Abuse/Neglect, 2008 





Number 


Percent 


Physical Abuse 


27 


90.0% 


Neglect 


15 


50.0% 


Emotional Maltreatment 


11 


36.7% 


Medical Neglect 


2 


6.7% 


Sexual Abuse 





0.0% 



Percent is the percentage of total substantiated fatalities. Percent total is greater than 100 because a child may be substantiated for up to six 
categories of abuse/neglect. 



Page 16 



Missouri Child Abuse/Neglect, 2008 



Substantiated Child Abuse/Neglect 



Child Demographics 



Substantiated Fatalities, 2008 



Age 


Number 


Percent 


<1 


12 


400% 


1 


3 


10.0% 


2 


7 


23.3% 


3 


1 


3.3% 


4 


1 


3.3% 


5 


1 


3.3% 


6 


1 


3.3% 


7 


2 


6.7% 


8 


1 


3.3% 


9 





0.0% 


10 





0.0% 


11 





0.0% 


12 





0.0% 


13 





0.0% 


14 


1 


3.3% 


15 





0.0% 


16 





0.0% 


17 





0.0% 


Total 


30 


100.0% 



Sex 


Number 


Percent 


Male 


16 


53.3% 


Female 


14 


46.7% 


Total 


30 


100.0% 


Race 


Number 


Percent 


White 


16 


53.3% 


Black 


10 


33.3% 


American Indian 


1 


3.3% 


Multi-Racial 


1 


3.3% 


Unknown 


2 


6.7% 


Total 


30 


100.0% 





Of the 30 children 
involved in substantiated 
fatalities in 2008, the 
majority were under five 
years of age. Fifty-three 
percent (53%) of the 
children were male and 
forty- seven percent 
(47%) were female. 
Fif fly-three percent 
(53%) of the children 
were white and thirty- 
three percent (33%) were 
black. 



Substantiated Fatalities by Month of Death, 2008 



Fatalities 




The highest incidence of child deaths (7) occurred in February. There were no fatalities in October. 



Missouri Child Abuse/Neglect, 2008 



Page 17 



Perpetrator Information 



Perpetrator Demographics 



Substantiated Perpetrators, 2008 



Age 


Number 


Percent 


^0 


468 


8.0% 


20-29 


1851 


31.8% 


30-39 


1735 


29.8% 


40-49 


976 


16.7% 


50-59 


312 


5.4% 


60-69 


84 


1.4% 


70+- 


32 


0.5% 


Unknown 


371 


6.4% 


Total 


5,829 


100.0% 



Race 


Number 


Percent 


White 


4147 


71.1% 


Black 


1177 


20.2% 


Hispanic 


132 


2.3% 


Native American 


34 


0.6% 


Asian 


19 


0.3% 


Other 


4 


0.1% 


Unknown 


316 


5.4% 


Total 


5,829 


100.0% 



Sex 


Number 


Percent 


Female 


2483 


42.6% 


Male 


3255 


55.8% 


Unknown 


91 


1.6% 


Total 


5,829 


100.0% 



The majority sixty-two (62%) of all perpetrators were between 20 and 39 years of age. Fifty-six percent 
(56%) were male and forty-three (43%) were female. The race of substantiated perpetrators is similar to 
that of substantiated children. Seventy-one percent (7 1 %) were white and twenty percent (20%) were 
black. 

The most common type of alleged perpetrator was the natural parent of the child. 



Alleged Perpetrators and Substantiated Perpetrators by Relationship to Child, 2008 





Alleged 
Perpetrators 


Substantiated 
Perpetrators 


Percent Found 
Substantiated 


Natural parent 


63,159 


4,152 


6.6% 


Parent' s paramour 


7,292 


643 


8.8% 


Stepparent 


5,493 


442 


8.0% 


Unknown 


4,673 


249 


5.3% 


Grandparent 


3,776 


296 


7.8% 


Other 


3,067 


646 


21.1% 


Other relative 


2,560 


403 


15.7% 


Adoptive parent 


1,233 


69 


5.6% 


Child care provider 


1,021 


82 


8.0% 


Sibling 


918 


102 


11.1% 


School personnel 


802 


33 


4.1% 


Institutional staff 


624 


30 


4.8% 


Foster parent 


604 


21 


3.5% 


Spouse/paramour 


136 


29 


21.3% 


Self 


52 


3 


5.8% 




95,410 


7,200 


7.5% 



Note: A perpetrator may be involved in more than one incident during the report year. 



Page 18 



Missouri Child Abuse/Neglect, 2008 



Perpetrator Information 



Children's Service Workers may indicate up to four Observed Perpetrator Characteristics for each 
substantiated perpetrator of child abuse/neglect. These characteristics are used to assist in determining which 
services may be beneficial to a family . For instance, if perpetrators have unrealistic expectations of children, 
providing information on child development can help teach more appropriate disciplinary techniques. 

In 2008 , the most prevalent perpetrator characteristic was having an adequate support system, which was the 
case for approximately twenty percent (20%) of the substantiated perpetrators . Social workers described 
twenty percent (20%) of the perpetrators as being amenable to services. 



Characteristics of Substantiated Perpetrators, 2008 





Number 


Percent 


Adequate support system 


1,150 


19.7% 


Amenable to services 


1,134 


19.5% 


History of criminal activity 


1,186 


20.3% 


No apparent mental/emotional disturbance 


887 


15.2% 


Unemployed 


866 


14.9% 


Unrealistic expectations of child 


853 


14.6% 


Other drug-related problem(s) 


786 


13.5% 


Mental/emotional disturbance 


778 


13.3% 


Immaturity 


763 


13.1% 


Loss of control during discipline 


607 


10.4% 


Alcohol-related problem (s) 


485 


8.3% 


Low self-esteem 


390 


6.7% 


Pattern of violent behavior 


372 


6.4% 


Parental history of abuse/neglect as a child 


305 


5.2% 


Undetermined 


268 


4.6% 


High school education or higher 


235 


4.0% 


No one to call on in time of crisis 


188 


3.2% 


Less than high school education 


183 


3.1% 


Other 


182 


3.1% 


Institutional report/unknown perpetrator 


86 


1.5% 


Illness 


70 


1.2% 


Incapacity due to physical handicap 


33 


0.6% 


Mental retardation 


30 


0.5% 



Percent is the percentage of total substantiated perpetrators. Percent total is greater than 100 because a worker may list up to four 
characteristics for each perpetrator. 



Missouri Child Abuse/Neglect, 2008 



Page 19 



Child Protection System: Family Assessments/Investigations 

Missouri's Child Protection Services system culminated from a collaborative effort between the Children's 
Division (CD), elective officials, community organizations and private citizens. Senate Bill 595 (SB 595) was 
signed into law in 1994 and expanded statewide in 1998. TheprimaryfocusofSB595istoprotectchildren 
from abuse/neglect in the least disruptive and intrusive way, that recognizes the value of the family. In addition, 
the protection is provided in the most efficient and effective manner possible within the framework of state, 
community, and family resources. 

The definition of child abuse/neglect and the criteria for reporting (including mandated reporting) remain the same. 
The most significant change to the Child Protection Services system is how the division responds to reports of 
child abuse or neglect. When a local county office receives areport, the report is screened to determine the 
appropriate intervention method. If the report indicates behaviors that constitute criminal violation, the response 
to the report is an evidentiary, fact-finding Investigation. It is CD policy to notify the appropriate local law 
enforcement agency to assistin the Investigation. 

Reports of child abuse or neglect that do not fall into the category of criminal violation may be responded toby 
conducting a Family Assessment. The main purpose of a Family Assessment is to determine thechild's safety 
and the family's needs for services. Taking anon-punitive assessment approach has created an environment that 
assists the family and social worker in developing arapport andbuilding on existing strengths to create amutually 
agreed upon plan. The attention is centered on long term effects of the intervention (success = independence) 
versus an individual incident (failure = dependence) . 

In 1994, the Missouri General Assembly mandated a two-year independent evaluation of the Family Assessment 
approach to addressing child abuse/neglect (CA/N). The evaluation completed in June 1 997 concluded that 
the safety of children was improved, CA/N reports decreased, families received services more quickly, families 
were more cooperative, and community resource utilization increased. Additionally, the community joined 
together in coordinating available resources to assist children and families in need. These communities have 
continued to meet today's challenges by working to develop resources to better address needs. 

In 2002, a follow-up independent evaluation conducted by the Institute of Applied Research began. Results are 
available on their website at www.iarsl.org. 



Page 20 Missouri Child Abuse/Neglect, 2008 



Child Protection System: Family Assessments/Investigations 

An investigative delivery approach is designed to focus the efforts of CD and law enforcement on reports that 
indicate a crime had been committed. The remaining families are served through Family Assessments, in order 
to address any service needs . Families who are investigated and those who receive the Family Assessment 
response both receive prompt and effective deli very of services in order to address their needs. 

Track assignments determine which approach, assessment orinvestigation, the Children's Service Worker will 
takeinresponsetoachildabuse/neglectreport. Reports that initially receive attack assignment of assessment 
may not, however, be concluded assessment (i.e., services needed, services not needed, or non-cooperative/ 
child safe). Assessment tracks not concluded as such may have conclusions of unable to locate, located out of 
state, or home schooling. Therefore, the statistics on pages 2 1 , 22, and 24 arenotbased on 26, 144, the number 
of reports concluded assessment, but on the number of reports assigned to the Family Assessment approach. 
The number of reports during 2008 assigned to the Family Assessment approach equaled 27,024. 

The Family Assessment approach began in selected counties in 1995. By June 1999, all counties had 
implemented the Family Assessment approach. 



Reports by Type of Response During 2008 



*Other 

2.0% 

(1,003) 



Family 
Assessments 

53.4% 
(27,024) 




Investigations 

44.6% 
(22,538) 



* Includes incidents with the conclusion of Inappropriate Report and incidents in which the 
conclusions are pending and the final response assignment could not be determined. 



Missouri Child Abuse/Neglect, 2008 



Page 21 



Child Protection System: Family Assessments/Investigations 



70% -, 
60%- 
50%- 
40%- 
30%- 
20%- 
10% 



Child Protection System: Family Assessments by Conclusion, 2008 



69% 



12% 



11% 




29, 



J 



y;< 



3% 




Services Needed Services Needed - Services Needed ■ 
Linked Initial 30 Declined 

Days 



Services Not Non- 

Needed Cooperative/Child 

Safe 



Other* 



Of the 27,024reports assigned to the Family Assessment approach, twelve percent (12%) of the families were 
in need of services, sixty-nine percent (69%) did not need services, and only two percent (2%) were non- 
cooperative. Eleven percent (11%) of the families were in need of services and linked in the initial 30 day s . Two 
percent (2%) were in need of services but declined receiving any service. 

Of the 22,538 reports assigned to the investigative track, twenty percent (1 8%) were substantiated. 

Child Protection System: Investigations by Conclusion, 2008 

64% 



70% - 




13% 


y 




60%- 

50%- 
40%- 
30%- 




18% 








/ A 




20% - 




nl 


' A 


4% 








10% 


p 


w 


/ /\ y 




1 W / 


o%- 













Substantiated Unsubstantiated - Unsubstantiated Other* 

PSI 

Other includes Unable to Locate, Inappropriate Report, Located Out of State, and Home Schooling (based on response assignment). 



P age 22 



Missouri Child Abuse/Neglect, 2008 



Child Protection System: Family Assessments/Investigations 



Child Demographics 



Family Assessment Children, 2008 



Age 

<1 

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

13 

14 

15 

16 

17 

Unknown 



Family 

Assessment 

Number Percent 



Services 

Needed 

Number Percent 



Services Needed - 
Linked Initial 30 Ds 
Number Percent 



Services Needed - 

Family Declined 

Number Percent 



1,972 


5.1% 


353 


6.6% 


188 


4.2% 


2,190 


5.6% 


321 


6.0% 


191 


4.3% 


2,376 


6.1% 


335 


6.3% 


210 


4.7% 


2,312 


5.9% 


282 


5.3% 


203 


4.6% 


2,335 


6.0% 


255 


4.8% 


224 


5.0% 


2,555 


6.6% 


325 


6.1% 


251 


5.6% 


2,717 


7.0% 


377 


7.1% 


299 


6.7% 


2,761 


7.1% 


380 


7.1% 


282 


6.3% 


2,485 


6.4% 


330 


6.2% 


275 


6.2% 


2,248 


5.8% 


292 


5.5% 


234 


5.3% 


2,127 


5.5% 


280 


5.3% 


235 


5.3% 


1,952 


5.0% 


263 


4.9% 


244 


5.5% 


1,967 


5.1% 


275 


5.2% 


243 


55% 


2,021 


5.2% 


328 


6.2% 


328 


7.4% 


2,137 


5.5% 


309 


5.8% 


346 


7.8% 


2,082 


5.4% 


311 


5.8% 


330 


7.4% 


1,523 


3.9% 


207 


3.9% 


215 


4.8% 


840 


2.2% 


84 


1.6% 


125 


2.8% 


296 


0.8% 


13 


0.2% 


24 


0.5% 



43 


4.8% 


47 


5.2% 


53 


5.9% 


35 


3.9% 


54 


6.0% 


69 


7.7% 


57 


6.4% 


66 


7.4% 


55 


6.1% 


59 


6.6% 


32 


3.6% 


50 


5.6% 


48 


5.4% 


39 


4.4% 


63 


7.0% 


64 


7.1% 


41 


4.6% 


17 


1.9% 


4 


0.4% 



TOTAL 


38,896 


100.0% 


5,320 


100.0% 


4,447 


100.0% 


896 


100.0% 


Sex 












Male 


19,831 


51.0% 


2,665 


50.1% 


2,204 


49.6% 


461 


51.5% 


Female 


19,049 


49.0% 


2,652 


49.8% 


2,242 


50.4% 


435 


48.5% 


Unknown 


16 


0.0% 
100.0% 


3 
5,320 


0.1% 
100.0% 


1 

4,447 


0.0% 
100.0% 



896 


0.0% 


Total 


38,896 


100.0% 


Race 






White 


30,714 


79.0% 


4,218 


79.3% 


3,470 


78.0% 


717 


80.0% 


Black 


7231 


18.6% 


976 


18.3% 


871 


19.6% 


158 


17.6% 


Native American 


71 


0.2% 


7 


0.1% 


6 


0.1% 





0.0% 


Asian 


113 


0.3% 


12 


0.2% 


7 


0.2% 


1 


0.1% 


Other 


299 


0.8% 


49 


0.9% 


22 


05% 


8 


0.9% 


Unknown 


468 


1.2% 
100.0% 


58 
5,320 


1.1% 
100.0% 


71 
4,447 


1.6% 
100.0% 


12 
896 


1.3% 


Total 


38,896 


100.0% 



During the year 38,896 children were involved in reports screened Family Assessment. Fifty-one percent (5 1 %) 
of the family assessmentchildren were male and forty-nine percent (49%) were female. Seventy-nine percent 
(79%) of the children were white and nineteen percent (19%) were black. 

Of the Family Assessment children 5,320 children had a conclusion of services needed, 4,447 a conclusion of 
services needed- linked in the initial 30 days, and 896 a conclusion of services needed but the family declined 
services. The majority of the children that needed services were white followed by black children. 
Approximately half of the children that needed services were male and half were female. 



Missouri Child Abuse/Neglect, 2008 



Page 23 



Child Protection System: Family Assessments/Investigations 

The goals of the Family Assessment approach are to assurechild safety, address the strengths of the family and 
to identify and treat the family's needs. Services and supports for families are designed to build on the strengths 
and resources of families and communities. In keeping with this philosophy, the list of Observed Family 
Characteristics was expanded to include more strength-based characteristics. Some of the new characteristics 
are extended family support systems, problem-solving skills and goodphysical/mental health. 

In sixty-five percent (65%) of the assessments, the families had adequate living conditions. Thirty- seven percent 
(37%) of the assessments involved families that were amenable to services . Other frequentiy cited characteristics 
include extended family support system, single parent household, appropriate parenting skills, and community/ 
cultural support. The top 25 characteristics are listed below. 



Percent is 
up to 15 i 


Child Protection System: Family Assessment Approach 
Characteristics of Families Involved in Family Assessments 

During 2008 








Number 


Percent 




Adequate living conditions 


17,651 


65.3% 


Amenable to services 


10,050 


37.2% 


Extended family support system 


9,447 


35.0% 


Single parent household 


6,902 


25.5% 


Appropriate parenting skills 


6,336 


23.4% 


Community/cultural support 


5,298 


19.6% 


Appropriate child development knowledge 


3,803 


14.1% 


Stable family relationships/household 


1,924 


7.1% 


Lack of parenting skills 


1,831 


6.8% 


Good physical/mental health 


1,749 


6.5% 


Heavy continuous child care reponsibility 


1,667 


6.2% 


Recent/frequent relocation 


1,469 


5.4% 


Crowded living conditions 


1,442 


5.3% 


Problem-solving skills 


1,308 


4.8% 


New baby in home/pregnancy 


1,068 


4.0% 


Recent loss/addition to household members 


1,065 


3.9% 


Insufficient/misuse of income 


1,004 


3.7% 


Loss of employment 


879 


3.3% 


Other drug-related problem(s) 


820 


3.0% 


Domestic violence 


816 


3.0% 


Marital problems 


763 


2.8% 


Stable marriage 


627 


2.3% 


No history of violence 


608 


2.2% 


Alcohol- related problem(s) 


530 


2.0% 


Manages finances well 


373 


1.4% 


the percentage of total reports assigned to the Family Assessment approach. '. 
amily characteristics may be reported for each Family Assessment. 


3 ercent total is 


greater than 10 


3 because 



Page 24 



Missouri Child Abuse/Neglect, 2008 



Child Protection System: Family Assessments/Investigations 

The characteristics for families involved in investigations are similar in ranktothoseof families in theassessment 
response. In sixty percent (60%) of the investigations, the families had adequate living conditions. Amenable 
to services, extended family support system, single parent household, and appropriate parenting skills were also 
cited frequently. 

Investigations had a slightiy lower percentage in families amenable to services and families with adequate living 
conditions, 36% and 60% respectively, as compared to assessment families who had 37% and 65% 
respectively. The top 25 characteristics are listed below. 



Percent is 
up to 15 i 


Child Protection System: Family Investigation Approach 

Characteristics of Families Involved in Investigations 

During 2008 








Number 


Percent 




Adequate living conditions 


13,502 


59.9% 


Amenable to services 


7,992 


35.5% 


Extended family support system 


7,696 


34.1% 


Single parent household 


5,091 


22.6% 


Appropriate parenting skills 


4,485 


19.9% 


Community/cultural support 


3,950 


17.5% 


Appropriate child development knowledge 


2,759 


12.2% 


Lack of parenting skills 


2,227 


9.9% 


Heavy continuous child care reponsibility 


1,463 


6.5% 


Good physical/mental health 


1,402 


6.2% 


Stable family relationships/household 


1,341 


5.9% 


Recent/frequent relocation 


1,287 


5.7% 


Domestic violence 


1,099 


4.9% 


Crowded living conditions 


1,053 


4.7% 


Problem-solving skills 


1,043 


4.6% 


Other drug-related problem(s) 


1,017 


4.5% 


Recent loss/addition to household members 


1,010 


4.5% 


New baby in home/pregnancy 


1,006 


4.5% 


Insufficient/misuse of income 


828 


3.7% 


Marital problems 


787 


3.5% 


Loss of employment 


714 


3.2% 


Alcohol-related problem(s) 


600 


2.7% 


Stable marriage 


520 


2.3% 


No history of violence 


456 


2.0% 


Dangerous living conditions 


401 


1.8% 


, the percentage of total reports assigned to the investigative approach. Pe 
amily characteristics may be reported for each investigation. 


rcent total is gi 


■eater than 10( 


) because 



Missouri Child Abuse/Neglect, 2008 



Page 25 



Prevention/Treatment Services 



CD has several programs designed to provide treatment and to help prevent future occurrence of child abuse 
and neglect. 



Family-Centered Services (FCS) : FCS are provided to families and children in their own homes when a child 
abuse/neglect investigation has been concluded Substantiated, Unsubstantiated-Preventive Services Indicated 
or Family Assessment-Services Needed. These services are also provided to families who voluntarily seekhelp 
and to families whose children are placed out of the home. Services are provided following a family-centered 
assessmentto identify riskissues, family strengths and service needs. Afamilytreatmentplanisdevelopedwith 
the family to help them change the conditions which brought them to the attention of CD . Services are designed 
to help the family direct their own affairs and provide suitable care for the children. The primary purpose of FCS 
is to improve and maintain the family unit or to reunify the family when alternative care services are provided. 
Services include a range of treatment and support services. The family treatment plan determines whether 
services areprovidedby CD staff and/orpurchasedorprovidedby community agencies. Purchased services 
include day care, family and/or individual counseling, home-based family-centered services, evaluation and 
diagnosis, homemaker services and respite care, among others. 

• During 2008, there were 9,252 FCS cases opened in Missouri. 

• In 2008, forty- six percent (46%) of all FCS case openings were the result of a Family Assessment. 



Page 26 Missouri Child Abuse/Neglect, 2008 



Prevention/Treatment Services 



Family- Centered Services Case Openings by Reason for Opening, 

2004 - 2008 



12,000 
10,000 
8,000 
6,000 
4,000 
2,000 




□ Other* 



□ Family Assessment 



I Substantiated CA/N 



.-^"T l 



-t ■ 



O 



v^ 



•• - 



S-r- 7\ /. 




./~r 



3 



2004 
5,306 



2,331 



2,636 



2005 2006 2007 
5,103 4,625 4,164 



2,309 



544 



566 



2,432 



3,767 



4,352 



2008 
3,591 



4,266 



1,395 



* Other includes Family Requests Preventive Services, Court Order and Newborn Crisis Assessment. 
Variances in data for 2006 and 2007 were the result of conversion to a new information system. 



Intensive In-Home Services (IIS) : IIS are intensive in-home services designed to prevent unnecessary out- 
of-home placement of children. An in-home specialist provides a variety of services to the entire family to address 
the crisis that would normally necessitate out-of-home care for a child. Services are delivered immediately at 
the time of crisis and are time-limited, usually four to six weeks . In- home specialists carry small caseloads of 
two families. This enables them to spend as much time with the family as needed. The emphasis of IIS is on 
strengthening the entire family by improving its problem-solving capabilities and teaching themnecessary life 
skills. Among other services, families may receive family therapy, individual and marital counseling, parenting 
education, child development training, household maintenance and nutritional training, job readiness training and 
referrals to other community resources. Families authorized for IIS may have children who have been abused 
or neglected, have committed a status offense, have displayed delinquent behavior, or who are seriously 
emotionally disturbed and are at imminent risk of being removed from the home . This service is voluntary and 
at least one caretaker must be willing to participate. 



Missouri Child Abuse/Neglect, 2008 



Page 27 



Prevention/Treatment Services 



Out-of-Home Placement: Out-of-home care is provided in situations where a parent or parents are incapable 
of pro viding a child or children with adequate social, emotional and physical care. Out-of-home is defined as 
care provided in licensed foster or approved relative family homes, in licensed residential facilities, or in licensed 
foster group homes. The service provides substitute settings for children. Children are placed only after it is 
determined that they cannot remain at home. 

Crisis Nurseries : The first state-funded crisis nurseries began providing services to children and their families 
in May 1 993 . There are nine of these facilities . Crisis nurseries are child care facilities which protect children 
by providing a safe environment at a time when the chances of abuse/neglect in the home are increased. Parents 
voluntarily request and arrange this service directly with the crisis nursery. 

Child Abuse/Neglect Review Board: Children's Service Workers reach a conclusion on each child abuse/ 
neglect investigation and notify the parents and alleged perpetrator (if different than the parents) by letter of the 
conclusion. In some investigations where the conclusionis substantiated, the alleged perpetrator may disagree 
with the finding. The alleged perpetrator may appeal to the Child Abuse/Neglect Review Board for review of 
the investigation by contacting the local CD office within 60 days of the notification of the finding. If there are 
pending criminal charges, the request may be made 60 days from the court's final disposition or dismissal of 
charges. If convicted, there is no appeal. 

The Child Abuse/Neglect Review Board consists of three boards of nine private citizens appointed by the 
Governor. These boards each meet monthly to review child abuse/neglect appeals . They listen to testimony from 
CD staff, the alleged perpetrator, and representatives of the child and then make a decision to uphold or reverse 
the original CD decision. During 2008, the review board heard 304 cases . The percentage of cases upheld by 
the Board was 52%. 

Following the Child Abuse and Neglect Review Board's disposition, the alleged perpetrator will have 30 day s 
to request a judicial review . 

Background Screening and Investigation Unit: The B ackground Screening and Investigation Unit conducts 
background checks through the child abuse/neglect systems in CD . These checks are run on prospective foster 
and adoptive parents for CD and for current or prospective employees in the child care industry (day care, 
residentialcareproviders, schools, etc.). The purposeof the unitis to pro vide information onpotential employees 
so that a prospective employer can assess if the person is appropriate to care for children. During 2008, the 
unit processed 1 20,070 background checks . 



Page 28 Missouri Child Abuse/Neglect, 2008 



Prevention/Treatment Services 



Mandated Reporter Referrals: The state child abuse/neglect law mandates certain professions (mandated 
reporters) to make areport to the Missouri Children's Division when they have reasonable cause to suspect that 
a child has been or may be subjected to abuse or neglect. However, many times the mandated reporter may 
not suspect abuse or neglect but has some other concern about a family . 

Effective July 1 996 the division implemented apolicy to accept referrals of concern from a mandated reporter 
which does not rise to the level of a CA/N report. The division refers to these calls as Mandated Reporter 
Referrals . This service is being provided because division staff are often aware of community resources available 
to families and to continue the positive communication between CD staff and mandated reporters . The reporter 
will be told by the hotline social worker whether their call is being accepted as a hotline report or as a Mandated 
Reporter Referral . Mandated Reporter Referrals will be reported immediately to the appropriate county CD 
Office. 

Local CD staff will contact the reporter within three working days of the report, or the next working day if the 
report is received over the weekend or a holiday period, to discuss the situation with the mandated reporter and 
mutually determine the most appropriate action to be taken. The exception is if the report indicates an emergency 
situation the reporter will be contacted as soon as possible. While the division in a few situations may offer 
services to families, the primary purpose is to help the mandated reporter make community support connections 
for the family . The following are pos sible responses to the referrals : 

• The mandated reporter is made aware of appropriate community resources and provides referrals for the 
family. 

• The reporter or CD staff contact the family by telephone to assist the family in arranging appropriate referrals . 

• CD staff visit the family to obtain additional information and assess the needs of the family. 

• CD staff determine that, based upon additional information, a child abuse/neglect report is necessary. 

• During 2008 , there were 1 7 ,907 Mandated Reporter Referrals . 



Missouri Child Abuse/Neglect, 2008 Page 29 



Prevention/Treatment Services 



Newborn Crisis Assessments and Services : CD collaborates with the Department of Health in conj unction 
with the Department of Mental Health and the Department of Elementary and Secondary Education to address 
the increasing problem of substance abusing pregnant women and drug exposed infants . Missouri law requires 
the Departments of Health, Mental Health, Elementary and Secondary Education, and Social Services (CD) to 
provide a non-punitive system of educational and treatment services related to the prenatal consumption of 
alcohol and other drugs. This inter-departmental effort is known as the Perinatal Substance Abuse Advisory 
Council. This council meets quarterly to discuss issues related to the needs of the drug-exposed infant, substance 
abusing pregnant women, assessment process, training, accessing available resources, legislative and policy 
changes. 

In most instances, CD receives a Newborn Crisis Assessment Referral, via the CA/N hotline, from the physician 
or health care provider, who requests CD to conduct an assessment to determine the caretaker's suitability to 
care for an infant, or to provide protective services as directed by a physician. Following the completion of the 
Newborn Crisis Assessment, CD coordinates services with the Department of Health and the Department of 
MentalHealth. Service Coordinators in the Department of Health's Bureau of Special Health Care Needs will 
provide health and developmental screenings throughout their involvement with the family . The Department of 
Mental Health provides drug treatment services for the substance abusing parent, as well as the family. In 2008, 
the Division received 2,851 reports from medical professionals for drug-exposed infants and subsequent 
assessment for services by CD. 

Children reported to the Division for abuse and neglect are sometimes identified during the investigation process 
as having been exposed prenatally to drugs. In 2008, 171 children reported to the hotline for abuse and neglect 
were identified as drug-exposed. 



Page 30 Missouri Child Abuse/Neglect, 2008 



Appendices 



Missouri Child Abuse/Neglect, 2008 Page 31 



Appendix A. 
























2008 Reported Incidents by Region, County and Conclusion 


















SUBSTAN- 






















TIATED 


UNSUB. 


-PSI 


UNSUB. 


FA 


OTHER 




REGION COUNTY 


Number 


% 


Number 


% 


Number 


% 


Number 


% Number 


% 


TOTAL 


NORTHWEST ANDREW 


5 


3.6 


16 


11.6 


30 


21.7 


83 


60.1 


4 


2.9 


138 


ATCHISON 














10 


33.3 


18 


60 


2 


6.7 


30 


BUCHANAN 


88 


8.1 


123 


11.3 


291 


26.7 


545 


50 


43 


3.9 


1,090 


CALDWELL 


6 


6.7 


11 


12.4 


27 


30.3 


40 


44.9 


5 


5.6 


89 


CARROLL 


4 


4.3 


2 


2.1 


29 


30.9 


56 


59.6 


3 


3.2 


94 


CASS 


34 


5.1 


84 


12.5 


195 


29 


316 


47 


44 


6.5 


673 


CHARITON 


13 


22.4 


4 


6.9 


13 


22.4 


27 


46.6 


1 


1.7 


58 


CLINTON 


12 


9.8 


9 


7.4 


27 


22.1 


65 


53.3 


9 


7.4 


122 


COOPER 


9 


4.7 


21 


10.9 


50 


26 


101 


52.6 


11 


5.7 


192 


DAVIESS 


6 


9.5 


4 


6.3 


20 


31.7 


3 1 


49.2 


2 


3.2 


63 


DE KALB 


8 


9.6 


10 


12 


17 


20.5 


42 


50.6 


6 


7.2 


83 


GENTRY 


5 


8.2 


5 


8.2 


16 


26.2 


30 


49.2 


5 


8.2 


61 


GRUNDY 


7 


5.4 


24 


18.6 


26 


20.2 


68 


52.7 


4 


3.1 


129 


HARRISON 


4 


5.1 


10 


12.7 


14 


17.7 


50 


63.3 


1 


1.3 


79 


HOLT 


2 


5.7 


1 


2.9 


15 


42.9 


16 


45.7 


1 


2.9 


35 


JOHNSON 


21 


6.5 


14 


4.3 


1 13 


34.8 


168 


51.7 


9 


2.8 


325 


LAFAYETTE 


22 


7.9 


14 


5 


81 


29 


151 


54.1 


11 


3.9 


279 


LINN 


12 


11.3 


6 


5.7 


33 


31.1 


5 1 


48.1 


4 


3.8 


106 


LIVINGSTON 


15 


8.2 


14 


7.6 


49 


26.6 


96 


52.2 


10 


5.4 


184 


MERCER 


3 


10 


4 


13.3 


5 


16.7 


17 


56.7 


1 


3.3 


30 


NODAWAY 


12 


12.9 


4 


4.3 


25 


26.9 


42 


45.2 


10 


10.8 


93 


PETTIS 


31 


6.9 


19 


4.2 


188 


41.7 


195 


43.2 


18 


4 


451 


PUTNAM 


5 


10.6 


7 


14.9 


14 


29.8 


19 


40.4 


2 


4.3 


47 


RAY 


9 


4.1 


11 


5.1 


75 


34.6 


118 


54.4 


4 


1.8 


217 


SALINE 


32 


14 


6 


2.6 


54 


23.6 


125 


54.6 


12 


5.2 


229 


SULLIVAN 


7 


12.7 


5 


9.1 


1 1 


20 


32 


58.2 








55 


WORTH 


1 


6.3 


2 


12.5 








11 


68.8 


2 


12.5 


16 


*REGION TOTAL* 


373 


7.5 


430 


8.7 


1,428 


28.7 


2,513 


50.6 


224 


4.5 


4,968 


NORTHEAST ADAIR 


9 


4.4 


18 


8.9 


43 


21.2 


122 


60.1 


1 1 


5.4 


203 


AUDRAIN 


33 


12.4 


9 


3.4 


74 


27.8 


125 


47 


25 


9.4 


266 


BOONE 


63 


5.5 


59 


5.2 


422 


36.9 


557 


48.7 


43 


3.8 


1,144 


CALLAWAY 


23 


5.2 


19 


4.3 


136 


31 


226 


51.5 


35 


8 


439 


CLARK 


3 


5.6 


4 


7.4 


16 


29.6 


28 


51.9 


3 


5.6 


54 


COLE 


22 


3.8 


19 


3.3 


226 


39.4 


281 


49 


26 


4.5 


574 


FRANKLIN 


59 


7.5 


53 


6.8 


235 


30.1 


402 


51.4 


33 


4.2 


782 


GASCONADE 


3 


1.9 


15 


9.4 


55 


34.6 


85 


53.5 


1 


0.6 


159 


HOWARD 


3 


4.8 


2 


3.2 


16 


25.8 


38 


61.3 


3 


4.8 


62 


KNOX 


1 


2.8 


3 


8.3 


6 


16.7 


23 


63.9 


3 


8.3 


36 


LEWIS 


7 


8.5 


6 


7.3 


21 


25.6 


47 


57.3 


1 


1.2 


82 


LINCOLN 


53 


11.4 


20 


4.3 


153 


33 


220 


47.5 


17 


3.7 


463 


MACON 


11 


7.6 


16 


11.1 


28 


19.4 


80 


55.6 


9 


6.3 


144 


MARION 


20 


7 


14 


4.9 


61 


21.3 


172 


59.9 


20 


7 


287 


MONROE 


1 


1.4 


4 


5.5 


20 


27.4 


47 


64.4 


1 


1.4 


73 


MONTGOMERY 


18 


15.5 


14 


12.1 


27 


23.3 


56 


48.3 


1 


0.9 


116 


OSAGE 








5 


5.9 


29 


34.1 


49 


57.6 


2 


2.4 


85 


PIKE 


23 


12.2 


12 


6.4 


55 


29.3 


89 


47.3 


9 


4.8 


188 


NORTHEAST RALLS 


6 


9.4 


9 


14.1 


14 


21.9 


32 


50 


3 


4.7 


64 


RANDOLPH 


41 


14.5 


9 


3.2 


81 


28.7 


136 


48.2 


15 


5.3 


282 


SCHUYLER 


3 


7.5 


5 


12.5 


10 


25 


20 


50 


2 


5 


40 


SCOTLAND 


1 


4.5 


2 


9.1 


6 


27.3 


11 


50 


2 


9.1 


22 


SHELBY 


2 


3.9 


5 


9.8 


15 


29.4 


25 


49 


4 


7.8 


5 1 


WARREN 


40 


12.8 


28 


8.9 


84 


26.8 


152 


48.6 


9 


2.9 


313 


*REGION TOTAL* 


445 


7.5 


350 


5.9 


1,833 


30.9 


3,023 


51 


278 


4.7 


5,929 


SOUTHEAST BOLLINGER 


8 


6.5 








44 


35.8 


70 


56.9 


1 


0.8 


123 


BUTLER 


48 


8.8 


21 


3.8 


168 


30.8 


292 


53.5 


17 


3.1 


546 


CAPE GIRARDEAU 


34 


5.9 


3 


0.5 


168 


29.1 


346 


60 


26 


4.5 


577 


CARTER 


5 


8.1 


6 


9.7 


23 


37.1 


25 


40.3 


3 


4.8 


62 


CRAWFORD 


12 


4.7 


15 


5.9 


73 


28.9 


139 


54.9 


14 


5.5 


253 


DENT 


5 


2.5 


17 


8.3 


69 


33.8 


97 


47.5 


16 


7.8 


204 


DUNKLIN 


32 


6.7 


43 


9 


160 


33.3 


224 


46.7 


21 


4.4 


480 


HOWELL 


56 


10.1 


98 


17.6 


130 


23.4 


249 


44.8 


23 


4.1 


556 


IRON 


11 


9.8 


8 


7.1 


37 


33 


52 


46.4 


4 


3.6 


112 


MADISON 


10 


10 


5 


5 


33 


33 


48 


48 


4 


4 


100 


MARIES 


10 


11.4 


5 


5.7 


28 


31.8 


43 


48.9 


2 


2.3 


88 


MISSISSIPPI 


8 


4.5 


19 


10.6 


65 


36.3 


84 


46.9 


3 


1.7 


179 


NEW MADRID 


12 


5.8 


11 


5.3 


81 


38.9 


89 


42.8 


15 


7.2 


208 


OREGON 


2 


1.7 


18 


15.1 


30 


25.2 


57 


47.9 


12 


10.1 


1 19 


PEMISCOT 


30 


9 


20 


6 


124 


37.1 


132 


39.5 


28 


8.4 


334 


PERRY 


18 


11.1 


3 


1.9 


48 


29.6 


90 


55.6 


3 


1.9 


162 


PHELPS 


50 


12.3 


30 


7.4 


108 


26.6 


200 


49.3 


18 


4.4 


406 


PULASKI 


61 


15.1 


30 


7.4 


96 


23.7 


188 


46.4 


30 


7.4 


405 



Page 32 



Missouri Child Abuse/Neglect, 2008 



AppendixA. (continued) 
























2008 Reported Incidents by Region, County and Conclusion 




















SUBSTAN- 
























TIATED 


UNSUB. 


-PSI 


UNSUB. 


FA 


OTHEF 




REGION 


COUNTY 


Number 


% 


Number 


% 


Number 


% 


Number 


% 


Number 


% 


TOTAL 


SOUTHEAST 


REYNOLDS 


2 


2.5 


9 


11.4 


24 


30.4 


41 


51.9 


3 


3.8 


79 




RIPLEY 


23 


11 


11 


5.2 


52 


24.8 


113 


53.8 


1 1 


5.2 


210 




ST FRANCOIS 


58 


9 


42 


6.5 


195 


30.2 


331 


51.2 


20 


3.1 


646 




STE GENEVIEVE 


12 


10.3 


10 


8.5 


29 


24.8 


59 


50.4 


7 


6 


117 




SCOTT 


40 


9.7 


38 


9.2 


136 


33.1 


181 


44 


16 


3.9 


411 




SHANNON 


5 


6.3 


7 


8.8 


25 


31.3 


38 


47.5 


5 


6.3 


80 




STODDARD 


42 


15.7 


29 


10.9 


60 


22.5 


124 


46.4 


12 


4.5 


267 




TEXAS 


35 


13.2 


43 


16.2 


60 


22.6 


124 


46.6 


4 


1.5 


266 




WASHINGTON 


36 


14.2 


17 


6.7 


69 


27.2 


125 


49.2 


7 


2.8 


254 




WAYNE 


4 


2.6 


22 


14.4 


46 


30.1 


76 


49.7 


5 


3.3 


153 




•REGION TOTAL* 


669 


9 


580 


7.8 


2,181 


29.5 


3,637 


49.2 


330 


4.5 


7,397 


SOUTHWEST 


BARRY 


39 


8.8 


16 


3.6 


116 


26.3 


260 


59 


10 


2.3 


441 




BARTON 


15 


14.2 


5 


4.7 


21 


19.8 


59 


55.7 


6 


5.7 


106 




BATES 


20 


10.7 


8 


4.3 


52 


27.8 


94 


50.3 


13 


7 


187 




BENTON 


11 


10.7 


13 


12.6 


35 


34 


43 


41.7 


1 


1 


103 




CAMDEN 


42 


11.8 


38 


10.6 


86 


24.1 


179 


50. 1 


12 


3.4 


357 




CEDAR 


12 


8.2 


3 


2 


23 


15.6 


97 


66 


12 


8.2 


147 




CHRISTIAN 


43 


6.7 


68 


10.6 


173 


26.9 


345 


53.7 


13 


2 


642 




DADE 


9 


13.4 








9 


13.4 


42 


62.7 


7 


10.4 


67 




DALLAS 


20 


11.6 


10 


5.8 


57 


32.9 


80 


46.2 


6 


3.5 


173 




DOUGLAS 


15 


11.9 


14 


11.1 


36 


28.6 


57 


45.2 


4 


3.2 


126 




GREENE 


209 


6.6 


71 


2.2 


397 


12.6 


2,341 


74.2 


139 


4.4 


3,157 




HENRY 


20 


9.1 


5 


2.3 


31 


14.1 


151 


68.6 


13 


5.9 


220 




HICKORY 


6 


7.8 


10 


13 


23 


29.9 


34 


44.2 


4 


5.2 


77 




IASPER 


85 


6.2 


110 


8.1 


419 


30.8 


694 


51 


54 


4 


1,362 




LACLEDE 


65 


12.4 


61 


11.6 


134 


25.6 


249 


47.5 


15 


2.9 


524 




LAWRENCE 


30 


7.5 


26 


6.5 


80 


20 


258 


64.3 


7 


1.7 


401 




MCDONALD 


31 


11.8 


10 


3.8 


73 


27.9 


131 


50 


17 


6.5 


262 




MILLER 


37 


11.1 


33 


9.9 


76 


22.8 


171 


51.2 


17 


5.1 


334 




MONITEAU 


13 


9.3 


6 


4.3 


26 


18.6 


84 


60 


11 


7.9 


140 




MORGAN 


34 


16.2 


27 


12.9 


38 


18.1 


99 


47.1 


12 


5.7 


210 




NEWTON 


74 


12.1 


33 


5.4 


174 


28.5 


298 


48.9 


3 1 


5.1 


610 




OZARK 


10 


12.3 


6 


7.4 


21 


25.9 


41 


50.6 


3 


3.7 


81 




POLK 


28 


8 


59 


1 6.9 


82 


23.4 


172 


49.1 


9 


2.6 


350 




ST CLAIR 


3 


3.4 


3 


3.4 


25 


28.4 


48 


54.5 


9 


10.2 


88 




STONE 


25 


8.9 


25 


8.9 


54 


19.3 


165 


58.9 


11 


3.9 


280 




TANEY 


63 


11.8 


69 


13 


112 


21.1 


266 


50 


22 


4.1 


532 




VERNON 


10 


4.9 


7 


3.4 


34 


16.6 


127 


62 


27 


13.2 


205 




WEBSTER 


31 


8.2 


15 


4 


124 


32.7 


195 


51.5 


14 


3.7 


379 




WRIGHT 


23 


8.4 


26 


9.5 


104 


38.1 


118 


43.2 


2 


0.7 


273 




•REGION TOTAL* 


1,023 


8.6 


777 


6.6 


2,635 


22.3 


6,898 


58.3 


501 


4.2 


11,834 


KANSAS CITY 


CLAY 


119 


8.5 


35 


2.5 


508 


36.3 


692 


49.5 


44 


3.1 


1,398 




JACKSON 


513 


8.7 


223 


3.8 


1,334 


22.5 


3,411 


57.6 


438 


7.4 


5,919 




PLATTE 


47 


9.5 


48 


9.7 


128 


25.8 


253 


5 1 


20 


4 


496 




•REGION TOTAL* 


679 


8.7 


306 


3.9 


1,970 


25.2 


4,356 


55.8 


502 


6.4 


7,813 


ST. LOUIS 


JEFFERSON 


152 


9.7 


106 


6.8 


274 


17.6 


993 


63.7 


35 


2.2 


1,560 




ST CHARLES 


143 


9.2 


46 


3 


512 


32.8 


804 


51.6 


54 


3.5 


1,559 




ST LOUIS COUNTY 


310 


6.9 


124 


2.8 


1,052 


23.6 


2,454 


55 


523 


11.7 


4,463 




ST LOUIS CITY 


241 


7.4 


240 


7.4 


1,072 


32.9 


1,466 


45 


237 


7.3 


3,256 




•REGION TOTAL* 


846 


7.8 


516 


4.8 


2,910 


26.8 


5,717 


52.7 


849 


7.8 


10,838 


OTHER 


OUT HOME INV 


96 


5.5 


2 


0.1 


1,540 


89 








92 


5.3 


1,730 




OUT OF STATE 


























56 


100 


56 




•REGION TOTAL* 


96 


5.4 


2 


0.1 


1,540 


86.2 








148 


8.3 


1,786 


STATE TOTAL 




4,131 


8.2 


2,961 


5.9 


14,497 


28.7 


26,144 


51.7 


2,832 


5.6 


50,565 



Conclusions are as follows: Substantiated - Court Adjudicated and Preponderance of Evidence; Unsub.-PSI - Unsubstantiated-Preventive Services 
Indicated; Unsub. - Unsubstantiated; FA - Family Assessment: Services Needed, Services Not Needed, Non-cooperative/Child Safe, Services Needed- 
Linked Initial 30 Days, and Services Needed-Family Declined; Other - Unable to Locate, Inappropriate Report, Located Out of State, Home 
Schooling, and School Investigation by School Board (Substantiated, Unsubstantiated, and Unresolved) 



Missouri Child Abuse/Neglect, 2008 



Page 33 



Appendix B. 


















2008 Reported Children by Region, County and Conclusion 


























CHILDREN 
















PER THOUSAND 




SUBSTAN- 


UNSUB.- 










SUBSTAN- 


TOTAL 


REGION COUNTY 


TIATED 


PSI 


UNSUB. 


FA 


OTHER 


TOTAL 


TIATED 


REPORTED 


NORTHWEST ANDREW 


6 


20 


47 


121 


6 


200 


1.38 


46.00 


ATCHISON 








14 


26 


3 


43 


0.00 


27.80 


BUCHANAN 


127 


164 


434 


863 


64 


1,652 


6.07 


78.90 


CALDWELL 


6 


19 


39 


65 


5 


134 


2.47 


55.19 


CARROLL 


4 


2 


39 


80 


4 


129 


1.54 


49.83 


CASS 


46 


123 


287 


438 


58 


952 


1.97 


40.85 


CHARITON 


28 


6 


25 


40 


1 


100 


14.02 


50.08 


CLINTON 


19 


10 


41 


104 


12 


186 


3.74 


36.62 


COOPER 


20 


35 


70 


160 


13 


298 


5.26 


78.40 


DAVIESS 


14 


14 


33 


44 


3 


108 


6.48 


49.95 


DE KALB 


12 


14 


29 


63 


14 


132 


4.99 


54.93 


GENTRY 


8 


7 


26 


46 


8 


95 


4.49 


53.31 


GRUNDY 


10 


32 


43 


91 


6 


182 


4.13 


75.08 


HARRISON 


10 


17 


15 


90 


1 


133 


4.76 


63.24 


HOLT 


5 


1 


30 


27 


2 


65 


3.93 


51.10 


JOHNSON 


3 1 


18 


170 


258 


17 


494 


2.56 


40.75 


LAFAYETTE 


43 


23 


126 


248 


11 


451 


4.98 


52.22 


LINN 


21 


9 


54 


86 


7 


177 


6.02 


50.73 


LIVINGSTON 


22 


17 


75 


137 


13 


264 


6.19 


74.30 


MERCER 


4 


8 


6 


26 


6 


50 


4.63 


57.87 


NODAWAY 


29 


10 


38 


68 


19 


164 


6.83 


38.63 


PETTIS 


47 


24 


262 


313 


3 1 


677 


4.53 


65.24 


PUTNAM 


6 


10 


19 


29 


2 


66 


4.78 


52.63 


RAY 


13 


19 


94 


187 


6 


319 


2.02 


49.59 


SALINE 


64 


6 


89 


196 


17 


372 


11.09 


64.44 


SULLIVAN 


11 


9 


18 


48 





86 


6.09 


47.59 


WORTH 


1 


3 





12 


4 


20 


1.73 


34.54 


♦REGION TOTAL* 


607 


620 


2,123 


3,866 


333 


7,549 


4.42 


54.98 


NORTHEAST ADAIR 


15 


22 


64 


211 


15 


327 


3.13 


68.18 


AUDRAIN 


51 


12 


96 


176 


33 


368 


8.02 


57.86 


BOONE 


87 


92 


601 


791 


65 


1,636 


2.82 


52.94 


CALLAWAY 


41 


30 


206 


331 


49 


657 


3.95 


63.35 


CLARK 


6 


7 


21 


43 


4 


81 


3.24 


43.74 


COLE 


30 


28 


315 


423 


36 


832 


1.73 


48.11 


FRANKLIN 


93 


76 


360 


639 


52 


1,220 


3.62 


47.54 


GASCONADE 


4 


26 


75 


147 


2 


254 


1.05 


66.84 


HOWARD 


4 


2 


23 


62 


5 


96 


1.63 


39.17 


KNOX 


3 


4 


7 


39 


4 


57 


2.76 


52.44 


LEWIS 


11 


8 


27 


67 


3 


116 


4.19 


44.16 


LINCOLN 


96 


34 


253 


328 


29 


740 


8.21 


63.30 


MACON 


24 


23 


45 


112 


11 


215 


6.28 


56.28 


MARION 


35 


19 


88 


286 


23 


451 


4.81 


62.04 


MONROE 


2 


4 


29 


74 


4 


113 


0.83 


46.89 


MONTGOMERY 


37 


21 


44 


93 


2 


197 


11.99 


63.86 


OSAGE 





8 


47 


72 


2 


129 


0.00 


37.53 


PIKE 


48 


14 


83 


141 


14 


300 


11.18 


69.88 


RALLS 


13 


13 


22 


44 


4 


96 


5.35 


39.52 


RANDOLPH 


68 


14 


132 


214 


26 


454 


11.58 


77.29 


SCHUYLER 


13 


10 


17 


26 


2 


68 


12.66 


66.21 


SCOTLAND 


1 


2 


12 


14 


2 


31 


0.70 


21.78 


SHELBY 


7 


6 


32 


35 


7 


87 


4.05 


50.32 


WARREN 


63 


46 


106 


218 


10 


443 


9.57 


67.26 


♦REGION TOTAL* 


752 


521 


2,705 


4,586 


404 


8,968 


4.63 


55.26 


SOUTHEAST BOLLINGER 


12 





63 


105 


1 


181 


3.81 


57.44 


BUTLER 


71 


32 


259 


478 


31 


871 


7.18 


88.10 


CAPE GIRARDEAU 58 


4 


228 


513 


32 


835 


3.60 


51.87 


CARTER 


5 


13 


36 


35 


5 


94 


3.35 


62.96 


CRAWFORD 


17 


24 


111 


216 


17 


385 


2.84 


64.27 


DENT 


7 


27 


111 


155 


24 


324 


1.88 


87.19 


DUNKLIN 


45 


84 


247 


349 


33 


758 


5.22 


88.01 


HOWELL 


107 


135 


205 


349 


28 


824 


11.06 


85.16 


IRON 


17 


9 


66 


73 


4 


169 


6.36 


63.22 


MADISON 


20 


6 


51 


82 


4 


163 


6.89 


56.13 


MARIES 


18 


14 


45 


76 


5 


158 


7.77 


68.16 


MISSISSIPPI 


12 


33 


105 


135 


5 


290 


3.40 


82.06 


NEW MADRID 


20 


18 


118 


133 


21 


310 


3.83 


59.35 


OREGON 


2 


22 


42 


82 


14 


162 


0.80 


64.41 


PEMISCOT 


39 


3 1 


180 


225 


45 


520 


6.48 


86.45 


PERRY 


23 


4 


63 


128 


4 


222 


4.88 


47.08 


PHELPS 


88 


57 


150 


293 


22 


610 


9.32 


64.60 


PULASKI 


123 


45 


122 


296 


37 


623 


10.85 


54.95 



Page 34 



Missouri Child Abuse/Neglect, 2008 



Appendix B. (continued) 

2008 Reported Children by Region, County and Conclusion 



REGION 



COUNTY 



SUBSTAN- 
TIATED 



UNSUB. 
PSI 



UNSUB. 



FA OTHER TOTAL 



CHILDREN 
PER THOUSAND 
SUBSTAN- TOTAL 
TIATED REPORTED 



SOUTHEAST 



REYNOLDS 
RIPLEY 

ST FRANCOIS 

STE GENEVIEVE 

SCOTT 

SHANNON 

STODDARD 

TEXAS 

WASHINGTON 

WAYNE 

♦REGION TOTAL* 



5 
33 

96 
18 
55 
5 
74 
64 
60 
10 
1,104 



12 
14 
61 
20 
64 
7 
46 
59 
31 
37 
909 



46 
78 
296 
41 
182 
37 
88 
95 
92 
81 
3.238 



66 
168 
505 
100 
294 

45 
214 
191 
208 
125 
5,639 



3 

14 
26 

7 
25 
10 
22 

7 
11 

5 
462 



132 
307 
984 
186 

620 
104 
444 
416 
402 
258 
11,352 



3.11 
9.84 
7.20 
3.79 
4.96 
2.27 
10.43 
11.16 
9.67 
3.25 
6.58 



82.09 
91.59 
73.79 
39.17 
55.93 
47.29 
62.60 
72.55 
64.79 
83.79 
67.68 



SOUTHWEST 



BARRY 

BARTON 

BATES 

BENTON 

CAMDEN 

CEDAR 

CHRISTIAN 

DADE 

DALLAS 

DOUGLAS 

GREENE 

HENRY 

HICKORY 

IASPER 

LACLEDE 

LAWRENCE 

MCDONALD 

MILLER 

MONITEAU 

MORGAN 

NEWTON 

OZARK 

POLK 

ST CLAIR 

STONE 

TANEY 

VERNON 

WEBSTER 

WRIGHT 

*REGION TOTAL* 



61 
38 

42 

26 
65 
14 
69 
12 
37 
19 

345 
29 
10 

147 

I 16 
60 
52 
73 
28 
61 

151 

16 

41 

4 

36 

113 

12 

57 

34 

1,768 



28 

5 
12 
18 
52 

4 
88 


19 
19 
109 
14 
18 
172 
96 
41 
16 
59 

6 
53 
47 

6 
79 

3 
33 
99 
10 
17 
43 
1,166 



162 
36 
79 

46 

126 

46 

260 

18 

82 

57 

528 

47 

32 

608 

215 

108 

1 17 

115 

33 

67 

278 

33 

122 

38 

79 

155 

45 

189 

155 

3,876 



402 
109 
158 

67 
287 
145 
484 

55 
119 

75 

3,284 

233 

54 
1,035 
350 
360 
208 
266 
119 
157 
490 

67 
290 

66 
260 
393 
192 
306 
191 
10,222 



12 

8 

30 

8 

21 

15 

22 

8 

9 

5 

205 

37 

6 

82 

22 

10 

28 

30 

14 

25 

55 

4 

16 

9 

23 

29 

34 

17 

3 

787 



665 
196 
321 
165 
551 
224 
923 
93 
266 
175 

4,471 
360 
120 

2,044 
799 
579 
421 
543 
200 
363 

1,021 
126 
548 
120 
431 
789 
293 
586 
426 
17,819 



6.87 
11.03 
9.50 
7.39 
8.66 
4.14 
4.57 
6.22 
8.60 
5.62 
6.45 
5.56 
5.61 
5.45 
13.37 
6.26 
8.31 
11.78 
7.30 
13.28 
10.93 
7.59 
5.90 
1.80 
5.87 
12.68 
2.21 
6.36 
6.97 
7.31 



74.93 
56.89 
72.64 
46.93 
73.39 
66.23 
61.07 
48.24 
61.83 
51.74 
83.57 
68.97 
67.34 
75.84 
92.10 
60.45 
67.26 
87.61 
52.14 
79.00 
73.88 
59.80 
78.88 
54.08 
70.22 
88.53 
53.90 
65.42 
87.35 
73.67 



KANSAS CITY 



CLAY 
IACKSON 
PLATTE 
*REGION TOTAL* 



161 

792 

71 

1,024 



49 

320 

58 

427 



722 
2,064 

180 
2,966 



923 

5,134 

350 

6,407 



64 

661 

29 

754 



1,919 

8,971 

688 

11,578 



3.39 
4.69 
3.73 
4.35 



40.37 
53.16 
36.16 
49.20 



ST. LOUIS 



IEFFERSON 

ST CHARLES 

ST LOUIS COUNTY 

ST LOUIS CITY 

*REGION TOTAL* 



280 
243 
443 
377 
1,343 



164 
82 

167 
420 
833 



414 

758 

1,502 

1,655 

4,329 



1,405 
1,100 
3,391 
2,280 
8,176 



56 

86 

751 

400 

1,293 



2,319 
2,269 
6,254 
5,132 
15,974 



5.07 
2.95 
1.73 
4.20 
2.78 



41.96 
27.59 
24.43 
57.24 
33.06 



OTHER 



OUT HOME INV 
OUT OF STATE 
*REGION TOTAL* 



134 


134 



2,176 



2,176 



153 
76 

229 



2,465 

76 

2,541 



STATE TOTAL 



6,732 



4,478 



21,413 



38,896 



4,262 



75,781 



4.72 



53.08 



Conclusions are as follows: Substantiated - Court Adjudicated and Preponderance of Evidence; Unsub.-PSI - Unsubstantiated-Preventive Services 
Indicated; Unsub. - Unsubstantiated; FA - Family Assessment: Services Needed, Services Not Needed, Non-cooperative/Child Safe, Services Needed- 
Linked Initial 30 Days, and Services Needed-Family Declined; Other - Unable to Locate, Inappropriate Report, Located Out of State, Home 
Schooling, and School Investigation by School Board (Substantiated, Unsubstantiated, and Unresolved) 

Population data is based on the 2000 Census: Summary File 3, December 2001. Missouri population through age 17. U.S. Department of Commerce, 
Bureau of the Census. 



Missouri Child Abuse/Neglect, 2008 



Page 35 



Appendix C. 
























2008 Family Assessment Incidents by Region, County and Conclusion 


















SERVICE 


NON- 




SERVICE NEEDED - 


SERVICE 






SERVICE 


NOT 




COOPE 




LINKED 


NEEDED - 






NEEDED 


NEEDED 


RATIVE 




INITIAL 30 DAYS 


DECLINED 




REGION COUNTY Number 


% 


Number 


% 


Number 


% 


Number 


% 


Number 


% 


TOTAL 


NORTHWEST ANDREW 


10 


12 


48 


57.8 


2 


2.4 


23 


27.7 








83 


ATCHISON 


2 


11.1 


12 


66.7 








4 


22.2 








18 


BUCHANAN 


53 


9.7 


409 


75 


3 


0.6 


69 


12.7 


n 


2 


545 


CALDWELL 


3 


7.5 


28 


70 


2 


5 


6 


15 


l 


2.5 


40 


CARROLL 


5 


8.9 


42 


75 


1 


1.8 


8 


14.3 








56 


CASS 


35 


11.1 


207 


65.5 


3 


0.9 


67 


21.2 


4 


1.3 


316 


CHARITON 


2 


7.4 


22 


81.5 








3 


11.1 








27 


CLINTON 


8 


12.3 


44 


67.7 


3 


4.6 


9 


13.8 


1 


1.5 


65 


COOPER 


16 


15.8 


71 


70.3 


4 


4 


7 


6.9 


3 


3 


101 


DAVIESS 








23 


74.2 








8 


25.8 








3 1 


DE KALB 


3 


7.1 


32 


76.2 








6 


14.3 


1 


2.4 


42 


GENTRY 


3 


10 


25 


83.3 








2 


6.7 








30 


GRUNDY 


7 


10.3 


27 


39.7 


4 


5.9 


28 


41.2 


2 


2.9 


68 


HARRISON 


9 


18 


19 


38 








21 


42 


1 


2 


50 


HOLT 








12 


75 








4 


25 








16 


JOHNSON 


10 


6 


143 


85.1 


3 


1.8 


12 


7.1 








168 


LAFAYETTE 


6 


4 


134 


88.7 


4 


2.6 


6 


4 


1 


0.7 


151 


LINN 


12 


23.5 


29 


56.9 








10 


19.6 








5 1 


LIVINGSTON 


7 


7.3 


77 


80.2 


1 


1 


9 


9.4 


2 


2.1 


96 


MERCER 


3 


17.6 


10 


58.8 








4 


23.5 








17 


NODAWAY 


2 


4.8 


38 


90.5 








2 


4.8 








42 


PETTIS 


22 


11.3 


149 


76.4 


1 


0.5 


16 


8.2 


7 


3.6 


195 


PUTNAM 








13 


68.4 








6 


31.6 








19 


RAY 


8 


6.8 


97 


82.2 


1 


0.8 


7 


5.9 


5 


4.2 


1 18 


SALINE 


6 


4.8 


87 


69.6 


8 


6.4 


22 


17.6 


2 


1.6 


125 


SULLIVAN 


4 


12.5 


20 


62.5 


1 


3.1 


6 


18.8 


1 


3.1 


32 


WORTH 








10 


90.9 








1 


9.1 








11 


♦REGION TOTAL* 


236 


9.4 


1,828 


72.7 


41 


1.6 


366 


14.6 


42 


1.7 


2,513 


NORTHEAST ADAIR 


16 


13.1 


60 


49.2 


6 


4.9 


39 


32 


1 


0.8 


122 


AUDRAIN 


7 


5.6 


97 


77.6 


2 


1.6 


14 


11.2 


5 


4 


125 


BOONE 


93 


16.7 


423 


75.9 


15 


2.7 


17 


3.1 


9 


1.6 


557 


CALLAWAY 


23 


10.2 


172 


76.1 


6 


2.7 


22 


9.7 


3 


1.3 


226 


CLARK 


5 


17.9 


20 


71.4 








3 


10.7 








28 


COLE 


33 


11.7 


237 


84.3 


7 


2.5 


1 


0.4 


3 


1.1 


281 


FRANKLIN 


52 


12.9 


282 


70.1 


3 


0.7 


53 


13.2 


12 


3 


402 


GASCONADE 


13 


15.3 


66 


77.6 


4 


4.7 


2 


2.4 








85 


HOWARD 


2 


5.3 


29 


76.3 








5 


13.2 


2 


5.3 


38 


KNOX 


4 


17.4 


16 


69.6 








2 


8.7 


1 


4.3 


23 


LEWIS 


2 


4.3 


38 


80.9 








5 


10.6 


2 


4.3 


47 


LINCOLN 


23 


10.5 


167 


75.9 


4 


1.8 


20 


9.1 


6 


2.7 


220 


MACON 


9 


11.3 


54 


67.5 


1 


1.2 


13 


16.2 


3 


3.8 


80 


MARION 


27 


15.7 


115 


66.9 


2 


1.2 


24 


14 


4 


2.3 


172 


MONROE 


10 


21.3 


34 


72.3 








2 


4.3 


1 


2.1 


47 


MONTGOMERY 


9 


16.1 


44 


78.6 








2 


3.6 


1 


1.8 


56 


OSAGE 


2 


4.1 


46 


93.9 








1 


2 








49 


PIKE 


12 


13.5 


62 


69.7 


2 


2.2 


9 


10.1 


4 


4.5 


89 


RALLS 


4 


12.5 


18 


56.3 


1 


3.1 


7 


21.9 


2 


6.3 


32 


RANDOLPH 


15 


11 


103 


75.7 


1 


0.7 


16 


11.8 


1 


0.7 


136 


SCHUYLER 


5 


25 


9 


45 


1 


5 


3 


15 


2 


10 


20 


SCOTLAND 








4 


36.4 








7 


63.6 








11 


SHELBY 


3 


12 


20 


80 








2 


8 








25 


WARREN 


28 


18.4 


85 


55.9 


4 


2.6 


24 


15.8 


11 


7.2 


152 


♦REGION TOTAL* 


397 


13.1 


2,201 


72.8 


59 


2 


293 


9.7 


73 


2.4 


3,023 


SOUTHEAST BOLLINGER 


17 


24.3 


49 


70 








3 


4.3 


1 


1.4 


70 


BUTLER 


40 


13.7 


181 


62 


3 


1 


56 


19.2 


12 


4.1 


292 


CAPE GIRARDEAU 


79 


22.8 


214 


61.8 


8 


2.3 


41 


11.8 


4 


1.2 


346 


CARTER 


4 


16 


19 


76 








2 


8 








25 


CRAWFORD 


15 


10.8 


107 


77 


2 


1.4 


13 


9.4 


2 


1.4 


139 


DENT 


17 


17.5 


60 


61.9 


2 


2.1 


16 


16.5 


2 


2.1 


97 


DUNKLIN 


48 


21.4 


168 


75 


4 


1.8 


3 


1.3 


1 


0.4 


224 


HOWELL 


80 


32.1 


138 


55.4 


3 


1.2 


19 


7.6 


9 


3.6 


249 


IRON 


9 


17.3 


32 


61.5 


1 


1.9 


10 


19.2 








52 


MADISON 


5 


10.4 


39 


81.3 








3 


6.3 


1 


2.1 


48 


MARIES 


7 


16.3 


35 


81.4 








1 


2.3 








43 


MISSISSIPPI 


15 


17.9 


66 


78.6 














3 


3.6 


84 


NEW MADRID 


11 


12.4 


78 


87.6 




















89 


OREGON 


19 


33.3 


32 


56.1 


1 


1.8 


4 


7 


1 


1.8 


57 


PEMISCOT 


16 


12.1 


1 10 


83.3 








2 


1.5 


4 


3 


132 


PERRY 


25 


27.8 


54 


60 








9 


10 


2 


2.2 


90 


PHELPS 


38 


19 


147 


73.5 


1 


0.5 


9 


4.5 


5 


2.5 


200 



Page 36 



Missouri Child Abuse/Neglect, 2008 



Appendix C. (continued) 
























2008 Family Assessment Incidents by Region, County and Conclusion 


















SERVICE 


NON- 




SERVICE NEEDED - 


SERVICE 






SERVICE 


NOT 




COOPE 


- 


LINKED 


NEEDED - 






NEEDED 


NEEDED 


RAITVE 




INITIAL 30 DAYS 


DECLINED 




REGION COUNTY Number 


% 


Number 


% 


Number 


% 


Number 


% 


Number 


% 


TOTAL 


SOUTHEAST PULASKI 


22 


11.7 


130 


69.1 


5 


2.7 


26 


13.8 


5 


2.7 


188 


REYNOLDS 


8 


19.5 


28 


68.3 


2 


4.9 


3 


7.3 








41 


RIPLEY 


18 


15.9 


53 


46.9 


3 


2.7 


23 


20.4 


16 


14.2 


113 


ST FRANCOIS 


42 


12.7 


250 


75.5 


7 


2.1 


28 


8.5 


4 


1.2 


33 1 


STE GENEVIEVE 


3 


5.1 


53 


89.8 


1 


1.7 


2 


3.4 








59 


SCOTT 


33 


18.2 


145 


80.1 


1 


0.6 


1 


0.6 


1 


0.6 


181 


SHANNON 


3 


7.9 


30 


78.9 


3 


7.9 


1 


2.6 


1 


2.6 


38 


STODDARD 


56 


45.2 


58 


46.8 








7 


5.6 


3 


2.4 


124 


TEXAS 


25 


20.2 


77 


62.1 








13 


10.5 


9 


7.3 


124 


WASHINGTON 


8 


6.4 


104 


83.2 


1 


0.8 


10 


8 


2 


1.6 


125 


WAYNE 


16 


21.1 


51 


67.1 








8 


10.5 


1 


1.3 


76 


♦REGION TOTAL* 


679 


18.7 


2,508 


69 


48 


1.3 


313 


8.6 


89 


2.4 


3,637 


SOUTHWEST BARRY 


27 


10.4 


213 


81.9 


2 


0.8 


14 


5.4 


4 


1.5 


260 


BARTON 


15 


25.4 


43 


72.9 








1 


1.7 








59 


BATES 


4 


4.3 


79 


84 


3 


3.2 


7 


7.4 


1 


1.1 


94 


BENTON 


4 


9.3 


34 


79.1 








5 


11.6 








43 


CAMDEN 


22 


12.3 


115 


64.2 


2 


1.1 


30 


16.8 


10 


5.6 


179 


CEDAR 


8 


8.2 


84 


86.6 








5 


5.2 








97 


CHRISTIAN 


36 


10.4 


233 


67.5 


4 


1.2 


59 


17.1 


13 


3.8 


345 


DADE 


12 


28.6 


24 


57.1 








5 


11.9 


1 


2.4 


42 


DALLAS 


2 


2.5 


71 


88.8 


1 


1.2 


6 


7.5 








80 


DOUGLAS 


4 


7 


42 


73.7 








7 


12.3 


4 


7 


57 


GREENE 


327 


14 


1,762 


75.3 


45 


1.9 


149 


6.4 


58 


2.5 


2,341 


HENRY 


15 


9.9 


118 


78.1 


1 


0.7 


16 


10.6 


1 


0.7 


151 


HICKORY 


1 


2.9 


25 


73.5 


1 


2.9 


6 


17.6 


1 


2.9 


34 


IASPER 


97 


14 


489 


70.5 


10 


1.4 


74 


10.7 


24 


3.5 


694 


LACLEDE 


S3 


21.3 


167 


67.1 


3 


1.2 


19 


7.6 


7 


2.8 


249 


LAWRENCE 


32 


12.4 


191 


74 


3 


1.2 


27 


10.5 


5 


1.9 


258 


MCDONALD 


28 


21.4 


92 


70.2 


4 


3.1 


3 


2.3 


4 


3.1 


131 


MILLER 


27 


15.8 


109 


63.7 


2 


1.2 


24 


14 


9 


5.3 


171 


MONITEAU 


12 


14.3 


58 


69 


5 


6 


5 


6 


4 


4.8 


84 


MORGAN 


27 


27.3 


63 


63.6 








5 


5.1 


4 


4 


99 


NEWTON 


43 


14.4 


219 


73.5 


5 


1.7 


18 


6 


13 


4.4 


298 


OZARK 


5 


12.2 


28 


68.3 








2 


4.9 


6 


14.6 


41 


POLK 


14 


8.1 


98 


57 


9 


5.2 


40 


23.3 


11 


6.4 


172 


ST CLAIR 


4 


8.3 


30 


62.5 


2 


4.2 


8 


16.7 


4 


8.3 


48 


STONE 


37 


22.4 


107 


64.8 


8 


4.8 


7 


4.2 


6 


3.6 


165 


TANEY 


56 


21.1 


136 


51.1 


14 


5.3 


49 


18.4 


11 


4.1 


266 


VERNON 


20 


15.7 


95 


74.8 








11 


8.7 


1 


0.8 


127 


WEBSTER 


15 


7.7 


168 


86.2 


1 


0.5 


11 


5.6 








195 


WRIGHT 


16 


13.6 


95 


80.5 


1 


0.8 


6 


5.1 








118 


*REGION TOTAL* 


963 


14 


4,988 


72.3 


126 


1.8 


619 


9 


202 


2.9 


6,898 


KANSAS CITY CLAY 


26 


3.8 


569 


82.2 


24 


3.5 


58 


8.4 


15 


2.2 


692 


JACKSON 


318 


9.3 


2,349 


68.9 


115 


3.4 


592 


17.4 


37 


1.1 


3,411 


PLATTE 


11 


4.3 


167 


66 


9 


3.6 


61 


24.1 


5 


2 


253 


*REGION TOTAL* 


355 


8.1 


3,085 


70.8 


148 


3.4 


711 


16.3 


57 


1.3 


4,356 


ST. LOUIS JEFFERSON 


78 


7.9 


641 


64.6 


15 


1.5 


218 


22 


41 


4.1 


993 


ST CHARLES 


56 


7 


592 


73.6 


13 


1.6 


134 


16.7 


9 


1.1 


804 


ST LOUIS COUNTY 


300 


12.2 


1,764 


71.9 


89 


3.6 


269 


11 


32 


1.3 


2,454 


ST LOUIS CITY 


242 


16.5 


939 


64.1 


74 


5 


172 


11.7 


39 


2.7 


1,466 


♦REGION TOTAL* 


676 


11.8 


3,936 


68.8 


191 


3.3 


793 


13.9 


121 


2.1 


5,717 



STATE TOTAL 



3,306 



12.6 



18,546 



70.9 



613 



2.3 



3,095 



11.8 



5 84 



2.2 26,144 



Missouri Child Abuse/Neglect, 2008 



Page 37 



AppendixD. 
























2008 Family Assessment Children by Region, County and Conclusion 


1 


















SERVICE 


NON- 




SERVICE NEEDED - 


SERVICE 






SERVICE 


NOT 




COOPE 


- 


LINKED 


NEEDED - 






NEEDED 


NEEDED 


RATTVE 


INITIAL 30 DAYS 


DECLINED 




REGION COUNTY Number 


% 


Number 


% 


Number 


% 


Number 


% 


Number 


% 


TOTAL 


NORTHWEST ANDREW 


26 


21.5 


63 


52.1 


2 


1.7 


30 


24.8 








121 


ATCHISON 


3 


11.5 


18 


69.2 








5 


19.2 








26 


BUCHANAN 


93 


10.8 


647 


75 


4 


0.5 


105 


12.2 


14 


1.6 


863 


CALDWELL 


4 


6.2 


46 


70.8 


3 


4.6 


11 


16.9 


1 


1.5 


65 


CARROLL 


8 


10 


62 


77.5 


1 


1.2 


9 


11.3 








80 


CASS 


50 


11.4 


288 


65.8 


3 


0.7 


92 


21 


5 


1.1 


438 


CHARITON 


3 


7.5 


33 


82.5 








4 


10 








40 


CLINTON 


18 


17.3 


69 


66.3 


4 


3.8 


12 


11.5 


1 


1 


104 


COOPER 


33 


20.6 


111 


69.4 


4 


2.5 


9 


5.6 


3 


1.9 


160 


DAVIESS 








34 


77.3 








10 


22.7 








44 


DE KALB 


5 


7.9 


47 


74.6 








7 


11.1 


4 


6.3 


63 


GENTRY 


5 


10.9 


39 


84.8 








2 


4.3 








46 


GRUNDY 


13 


14.3 


41 


45.1 


4 


4.4 


31 


34.1 


2 


2.2 


91 


HARRISON 


11 


12.2 


35 


38.9 








43 


47.8 


1 


1.1 


90 


HOLT 








18 


66.7 








9 


33.3 








27 


JOHNSON 


25 


9.7 


202 


78.3 


9 


3.5 


22 


8.5 








258 


LAFAYETTE 


17 


6.9 


213 


85.9 


9 


3.6 


8 


3.2 


1 


0.4 


248 


LINN 


19 


22.1 


55 


64 








12 


14 








86 


LIVINGSTON 


to 


7.3 


108 


78.8 


2 


1.5 


15 


10.9 


2 


1.5 


137 


MERCER 


4 


15.4 


18 


69.2 








4 


15.4 








26 


NODAWAY 


3 


4.4 


63 


92.6 








2 


2.9 








68 


PETTIS 


40 


12.8 


243 


77.6 


1 


0.3 


18 


5.8 


11 


3.5 


313 


PUTNAM 








21 


72.4 








8 


27.6 








29 


RAY 


9 


4.8 


152 


81.3 


2 


1.1 


13 


7 


11 


5.9 


187 


SALINE 


12 


6.1 


133 


67.9 


15 


7.7 


34 


17.3 


2 


1 


196 


SULLIVAN 


6 


12.5 


30 


62.5 


3 


6.3 


8 


16.7 


1 


2.1 


48 


WORTH 








11 


91.7 








1 


8.3 








12 


*REGION TOTAL* 


417 


10.8 


2,800 


72.4 


66 


1.7 


524 


13.6 


59 


1.5 


3,866 


NORTHEAST ADAIR 


25 


11.8 


104 


49.3 


9 


4.3 


67 


31.8 


6 


2.8 


211 


AUDRAIN 


15 


8.5 


133 


75.6 


2 


1.1 


18 


10.2 


8 


4.5 


176 


BOONE 


145 


18.3 


587 


74.2 


21 


2.7 


23 


2.9 


15 


1.9 


791 


CALLAWAY 


45 


13.6 


243 


73.4 


7 


2.1 


33 


10 


3 


0.9 


331 


CLARK 


5 


11.6 


33 


76.7 








5 


11.6 








43 


COLE 


46 


10.9 


361 


85.3 


10 


2.4 


1 


0.2 


5 


1.2 


423 


FRANKLIN 


86 


13.5 


458 


71.7 


5 


0.8 


72 


11.3 


18 


2.8 


639 


GASCONADE 


32 


21.8 


101 


68.7 


8 


5.4 


6 


4.1 








147 


HOWARD 


3 


4.8 


45 


72.6 








9 


14.5 


5 


8.1 


62 


KNOX 


4 


10.3 


26 


66.7 








8 


20.5 


1 


2.6 


39 


LEWIS 


2 


3 


56 


83.6 








5 


7.5 


4 


6 


67 


LINCOLN 


35 


10.7 


249 


75.9 


9 


2.7 


27 


8.2 


8 


2.4 


328 


MACON 


11 


9.8 


80 


71.4 


1 


0.9 


16 


14.3 


4 


3.6 


112 


MARION 


65 


22.7 


180 


62.9 


5 


1.7 


30 


10.5 


6 


2.1 


286 


MONROE 


13 


17.6 


57 


77 








3 


4.1 


1 


1.4 


74 


MONTGOMERY 


16 


17.2 


73 


78.5 








2 


2.2 


2 


2.2 


93 


OSAGE 


4 


5.6 


66 


91.7 








2 


2.8 








72 


PIKE 


19 


13.5 


101 


71.6 


3 


2.1 


13 


9.2 


5 


3.5 


141 


RALLS 


5 


11.4 


25 


56.8 


2 


4.5 


9 


20.5 


3 


6.8 


44 


RANDOLPH 


23 


10.7 


165 


77.1 


1 


0.5 


24 


11.2 


1 


0.5 


214 


SCHUYLER 


6 


23.1 


13 


50 


1 


3.8 


4 


15.4 


2 


7.7 


26 


SCOTLAND 








5 


35.7 








9 


64.3 








14 


SHELBY 


5 


14.3 


27 


77.1 








3 


8.6 








35 


WARREN 


47 


21.6 


111 


50.9 


7 


3.2 


38 


17.4 


15 


6.9 


218 


*REGION TOTAL* 


657 


14.3 


3,299 


71.9 


91 


2 


427 


9.3 


112 


2.4 


4,586 


SOUTHEAST BOLLINGER 


29 


27.6 


68 


64.8 








5 


4.8 


3 


2.9 


105 


BUTLER 


68 


14.2 


298 


62.3 


3 


0.6 


91 


19 


18 


3.8 


478 


CAPE GIRARDEAU 


111 


21.6 


326 


63.5 


13 


2.5 


58 


11.3 


5 


1 


513 


CARTER 


g 


22.9 


24 


68.6 








2 


5.7 


1 


2.9 


35 


CRAWFORD 


31 


14.4 


161 


74.5 


2 


0.9 


19 


8.8 


3 


1.4 


216 


DENT 


23 


14.8 


101 


65.2 


6 


3.9 


22 


14.2 


3 


1.9 


155 


DUNKLIN 


90 


25.8 


251 


71.9 


4 


1.1 


3 


0.9 


1 


0.3 


349 


HOWELL 


119 


34.1 


189 


54.2 


3 


0.9 


28 


8 


10 


2.9 


349 


IRON 


16 


21.9 


42 


57.5 


1 


1.4 


14 


19.2 








73 


MADISON 


g 


9.8 


61 


74.4 








10 


12.2 


3 


3.7 


82 


MARIES 


16 


21.1 


58 


76.3 








2 


2.6 








76 


MISSISSIPPI 


22 


16.3 


110 


81.5 














3 


2.2 


135 


NEW MADRID 


17 


12.8 


116 


87.2 




















133 


OREGON 


24 


29.3 


51 


62.2 


1 


1.2 


5 


6.1 


1 


1.2 


82 


PEMISCOT 


24 


10.7 


193 


85.8 








2 


0.9 


6 


2.7 


225 


PERRY 


44 


34.4 


73 


57 








9 


7 


2 


1.6 


128 


PHELPS 


54 


18.4 


218 


74.4 


1 


0.3 


12 


4.1 


8 


2.7 


293 



Page 38 



Missouri Child Abuse/Neglect, 2008 



Appendix D. (continued) 
























2008 Family Assessment Children by Region, County and Conclusion 




















SERVICE 


NON- 




SERVICE NEEDED - 


SERVICE 






SERVICE 


NOT 




COOPE 




LINKED 


NEEDED - 






NEEDED 


NEEDED 


RAITVE 




INITIAL 30 DAYS 


DECLINED 




REGION COUNTY Number 


% 


Number 


% 


Number 


% 


Number 


% 


Number 


% 


TOTAL 


SOUTHEAST PULASKI 


44 


14.9 


197 


66.6 


10 


3.4 


36 


12.2 


9 


3 


296 


REYNOLDS 


11 


16.7 


47 


71.2 


4 


6.1 


4 


6.1 








66 


RIPLEY 


21 


12.5 


86 


51.2 


4 


2.4 


32 


19 


25 


14.9 


168 


ST FRANCOIS 


74 


14.7 


370 


73.3 


12 


2.4 


42 


8.3 


7 


1.4 


505 


STE GENEVIEVE 


7 


7 


89 


89 


1 


1 


3 


3 








100 


SCOTT 


58 


19.7 


233 


79.3 


1 


0.3 


1 


0.3 


1 


0.3 


294 


SHANNON 


3 


6.7 


34 


75.6 


5 


11.1 


1 


2.2 


2 


4.4 


45 


STODDARD 


97 


45.3 


102 


47.7 








10 


4.7 


5 


2.3 


214 


TEXAS 


40 


20.9 


1 19 


62.3 








18 


9.4 


14 


7.3 


191 


WASHINGTON 


12 


5.8 


169 


81.3 


2 


l 


21 


10.1 


4 


1.9 


208 


WAYNE 


32 


25.6 


82 


65.6 








10 


8 


1 


0.8 


125 


*REGION TOTAL* 


1,103 


19.6 


3,868 


68.6 


73 


1.3 


460 


8.2 


135 


2.4 


5,639 


SOUTHWEST BARRY 


44 


10.9 


328 


81.6 


3 


0.7 


21 


5.2 


6 


1.5 


402 


BARTON 


33 


30.3 


74 


67.9 








2 


1.8 








109 


BATES 


12 


7.6 


121 


76.6 


4 


2.5 


16 


10.1 


5 


3.2 


158 


BENTON 


1 1 


16.4 


50 


74.6 








6 


9 








67 


CAMDEN 


36 


12.5 


184 


64.1 


2 


0.7 


45 


15.7 


20 


7 


287 


CEDAR 


12 


8.3 


127 


87.6 








6 


4.1 








145 


CHRISTIAN 


52 


10.7 


332 


68.6 


7 


1.4 


70 


14.5 


23 


4.8 


484 


DADE 


18 


32.7 


29 


52.7 








7 


12.7 


1 


1.8 


55 


DALLAS 


3 


2.5 


104 


87.4 


1 


0.8 


11 


9.2 








119 


DOUGLAS 


4 


5.3 


57 


76 








9 


12 


5 


6.7 


75 


GREENE 


468 


14.3 


2,477 


75.4 


52 


1.6 


197 


6 


90 


2.7 


3,284 


HENRY 


23 


9.9 


181 


77.7 


1 


0.4 


27 


11.6 


1 


0.4 


233 


HICKORY 


2 


3.7 


40 


74.1 


1 


1.9 


10 


18.5 


1 


1.9 


54 


JASPER 


154 


14.9 


713 


68.9 


14 


1.4 


1 12 


10.8 


42 


4.1 


1,035 


LACLEDE 


81 


23.1 


227 


64.9 


5 


1.4 


28 


8 


9 


2.6 


350 


LAWRENCE 


43 


11.9 


275 


76.4 


6 


1.7 


3 1 


8.6 


5 


1.4 


360 


MCDONALD 


39 


18.8 


153 


73.6 


5 


2.4 


4 


1.9 


7 


3.4 


208 


MILLER 


52 


19.5 


157 


59 


2 


0.8 


46 


17.3 


9 


3.4 


266 


MONITEAU 


22 


18.5 


78 


65.5 


5 


4.2 


10 


8.4 


4 


3.4 


119 


MORGAN 


46 


29.3 


98 


62.4 








6 


3.8 


7 


4.5 


157 


NEWTON 


75 


15.3 


348 


71 


9 


1.8 


34 


6.9 


24 


4.9 


490 


OZARK 


12 


17.9 


44 


65.7 








3 


4.5 


8 


11.9 


67 


POLK 


26 


9 


156 


53.8 


15 


5.2 


75 


25.9 


18 


6.2 


290 


ST CLAIR 


6 


9.1 


40 


60.6 


2 


3 


10 


15.2 


8 


12.1 


66 


STONE 


58 


22.3 


160 


61.5 


12 


4.6 


19 


7.3 


11 


4.2 


260 


TANEY 


82 


20.9 


210 


53.4 


20 


5.1 


64 


16.3 


17 


4.3 


393 


VERNON 


28 


14.6 


144 


75 








19 


9.9 


1 


0.5 


192 


WEBSTER 


26 


8.5 


262 


85.6 


1 


0.3 


17 


5.6 








306 


WRIGHT 


22 


11.5 


150 


78.5 


2 


1 


17 


8.9 








191 


♦REGION TOTAL* 


1,490 


14.6 


7,319 


71.6 


169 


1.7 


922 


9 


322 


3.2 


10,222 


KANSAS CITY CLAY 


33 


3.6 


767 


83.1 


32 


3.5 


73 


7.9 


18 


2 


923 


JACKSON 


525 


10.2 


3,556 


69.3 


147 


2.9 


851 


16.6 


55 


1.1 


5,134 


PLATTE 


24 


6.9 


220 


62.9 


21 


6 


80 


22.9 


5 


1.4 


350 


*REGION TOTAL* 


582 


9.1 


4,543 


70.9 


200 


3.1 


1,004 


15.7 


78 


1.2 


6,407 


ST. LOUIS JEFFERSON 


112 


8 


907 


64.6 


18 


1.3 


301 


21.4 


67 


4.8 


1,405 


ST CHARLES 


86 


7.8 


797 


72.5 


19 


1.7 


187 


17 


11 


1 


1,100 


ST LOUIS COUNTY 


455 


13.4 


2,391 


70.5 


127 


3.7 


370 


10.9 


48 


1.4 


3,391 


ST LOUIS CITY 


418 


18.3 


1,440 


63.2 


106 


4.6 


252 


11.1 


64 


2.8 


2,280 


*REGION TOTAL* 


1,071 


13.1 


5,535 


67.7 


270 


3.3 


1,110 


13.6 


190 


2.3 


8,176 



STATE TOTAL 



5.320 



13.7 27,364 



70.4 



869 



2.2 



4,447 



11.4 



896 



2.3 38,896 



Missouri Child Abuse/Neglect, 2008 



Page 39 



AppendixE. 

2008 Substantiated Incidents by Region, County and Category of Abuse/Neglect 



REGION 



COUNTY 



PHYSICAL 






EMOTIONAL 


ABUSE 


NEGLECT 


MALTREATMENT 


Number 


% 


Number 


% 


Number 


% 


l 


20.0 


l 


20.0 





0.0 


28 


31.8 


50 


56.8 





0.0 


2 


33.3 


4 


66.7 





0.0 


1 


25.0 


1 


25.0 





0.0 


16 


47.1 


11 


32.4 





0.0 


2 


15.4 


7 


53.9 


1 


7.7 


5 


41.7 


6 


50.0 


2 


16.7 


2 


22.2 


2 


22.2 


1 


11.1 


3 


50.0 


4 


66.7 


2 


33.3 


3 


37.5 





0.0 


2 


25.0 


1 


20.0 


4 


80.0 





0.0 


2 


28.6 


4 


57.1 





0.0 





0.0 


2 


50.0 





0.0 


2 


100.0 





0.0 





0.0 


7 


33.3 


7 


33.3 





0.0 


6 


27.3 


14 


63.6 


2 


9.1 


4 


33.3 


8 


66.7 


1 


8.3 


6 


40.0 


4 


26.7 





0.0 





0.0 


2 


66.7 





0.0 


2 


16.7 


6 


50.0 


1 


8.3 


13 


41.9 


10 


32.3 


2 


6.5 


2 


40.0 


3 


60.0 





0.0 


3 


33.3 


1 


11.1 





0.0 


9 


28.1 


13 


40.6 


1 


3.1 


1 


14.3 


5 


71.4 





0.0 





0.0 


1 


100.0 





0.0 


121 


32.4 


170 


45.6 


15 


4.0 


4 


44.4 


6 


66.7 





0.0 


8 


24.2 


14 


42.4 


3 


9.1 


25 


39.7 


20 


31.8 


1 


1.6 


12 


52.2 


9 


39. 1 


7 


30.4 


1 


33.3 


1 


33.3 





0.0 


6 


27.3 


9 


40.9 





0.0 


18 


30.5 


24 


40.7 


1 


1.7 


1 


33.3 


1 


33.3 





0.0 


1 


33.3 


1 


33.3 





0.0 





0.0 





0.0 


1 


100.0 


3 


42.9 


1 


14.3 


1 


14.3 


24 


45.3 


23 


43.4 


10 


18.9 


3 


27.3 


8 


72.7 


1 


9.1 


11 


55.0 


6 


30.0 





0.0 





0.0 





0.0 





0.0 


5 


27.8 


10 


55.6 


2 


11.1 


4 


17.4 


19 


82.6 


2 


8.7 


2 


33.3 


4 


66.7 


1 


16.7 


10 


24.4 


21 


51.2 


1 


2.4 


2 


66.7 


3 


100.0 


1 


33.3 


1 


100.0 





0.0 





0.0 


1 


50.0 


1 


50.0 


1 


50.0 


18 


45.0 


17 


42.5 


3 


7.5 


160 


36.0 


198 


44.5 


36 


8.1 


3 


37.5 


2 


25.0 


1 


12.5 


7 


14.6 


17 


35.4 


5 


10.4 


12 


35.3 


12 


35.3 


1 


2.9 


2 


40.0 





0.0 





0.0 


7 


58.3 


4 


33.3 





0.0 


2 


40.0 


3 


60.0 





0.0 


9 


28.1 


13 


40.6 


4 


12.5 


18 


32.1 


33 


58.9 


2 


3.6 


6 


54.6 


3 


27.3 





0.0 


2 


20.0 


3 


30.0 





0.0 


1 


10.0 


3 


30.0 


3 


30.0 


2 


25.0 


2 


25.0 





0.0 


6 


50.0 


7 


58.3 





0.0 


1 


50.0 


1 


50.0 





0.0 


9 


30.0 


12 


40.0 





0.0 


5 


27.8 


4 


22.2 





0.0 


21 


42.0 


26 


52.0 


2 


4.0 


24 


39.3 


39 


63.9 


11 


18.0 





0.0 


1 


50.0 





0.0 


5 


21.7 


9 


39. 1 


1 


4.4 



NORTHWEST 



NORTHEAST 



SOUTHEAST 



ANDREW 

BUCHANAN 

CALDWELL 

CARROLL 

CASS 

CHARITON 

CLINTON 

COOPER 

DAVIESS 

DE KALB 

GENTRY 

GRUNDY 

HARRISON 

HOLT 

IOHNSON 

LAFAYETTE 

LINN 

LIVINGSTON 

MERCER 

NODAWAY 

PETTIS 

PUTNAM 

RAY 

SALINE 

SULLIVAN 

WORTH 

*REGION TOTAL* 

ADAIR 

AUDRAIN 

BOONE 

CALLAWAY 

CLARK 

COLE 

FRANKLIN 

GASCONADE 

HOWARD 

KNOX 

LEWIS 

LINCOLN 

MACON 

MARION 

MONROE 

MONTGOMERY 

PIKE 

RALLS 

RANDOLPH 

SCHUYLER 

SCOTLAND 

SHELBY 

WARREN 

*REGION TOTAL* 

BOLLINGER 

BUTLER 

CAPE GIRARDEAU 

CARTER 

CRAWFORD 

DENT 

DUNKLIN 

HOWELL 

IRON 

MADISON 

MARIES 

MISSISSIPPI 

NEW MADRID 

OREGON 

PEMISCOT 

PERRY 

PHELPS 

PULASKI 

REYNOLDS 

RIPLEY 



Page 40 



Missouri Child Abuse/Neglect, 2008 



Appendix E. (continued) 

2008 Substantiated Incidents by Region, County and Category of Abuse/Neglect 



REGION 



COUNTY 















TOTAL 


MEDICAL 


EDUCATIONAL 


SEXUAL 




SUBSTAN- 


NEGLECT 


NEGLECT 


MALTREATMENT 


TIATED 


Number 


% 


Number 


% 


Number 


% 


INCIDENTS 


1 


20.0 


l 


20.0 


1 


20.0 


5 


2 


2.3 


l 


1.1 


17 


19.3 


88 





0.0 





0.0 





0.0 


6 


() 


0.0 





0.0 


2 


50.0 


4 


3 


8.8 


1 


2.9 


10 


29.4 


34 


2 


15.4 





0.0 


3 


23.1 


13 


1 


8.3 





0.0 


3 


25.0 


12 





0.0 


2 


22.2 


4 


44.4 


9 


1 


16.7 





0.0 





0.0 


6 





0.0 





0.0 


5 


62.5 


8 





0.0 





0.0 


1 


20.0 


5 





0.0 





0.0 


1 


14.3 


7 





0.0 





0.0 


2 


50.0 


4 





0.0 





0.0 





0.0 


2 





0.0 





0.0 


9 


42.9 


21 


3 


13.6 


l 


4.6 


10 


45.5 


22 





0.0 





0.0 


1 


8.3 


12 





0.0 





0.0 


7 


46.7 


15 





0.0 





0.0 


1 


33.3 


3 





0.0 





0.0 


7 


58.3 


12 


1 


3.2 





0.0 


11 


35.5 


31 





0.0 





0.0 


1 


20.0 


5 


1 


11.1 


1 


11.1 


4 


44.4 


9 


2 


6.3 


6 


18.8 


5 


15.6 


32 





0.0 





0.0 


2 


28.6 


7 





0.0 





0.0 





0.0 


1 


17 


4.6 


13 


3.5 


107 


28.7 


373 





0.0 





0.0 


1 


11.1 


9 


1 


3.0 





0.0 


12 


36.4 


33 


1 


1.6 





0.0 


23 


36.5 


63 


2 


8.7 





0.0 


2 


8.7 


23 





0.0 





0.0 


1 


33.3 


3 


2 


9.1 





0.0 


8 


36.4 


22 





0.0 


2 


3.4 


20 


33.9 


59 





0.0 





0.0 


2 


66.7 


3 





0.0 





0.0 


1 


33.3 


3 





0.0 





0.0 





0.0 


1 


1 


14.3 





0.0 


3 


42.9 


7 


1 


1.9 





0.0 


13 


24.5 


53 


1 


9.1 





0.0 





0.0 


11 


1 


5.0 


2 


10.0 


7 


35.0 


20 





0.0 





0.0 





0.0 


1 


1 


5.6 


1 


5.6 


4 


22.2 


18 


2 


8.7 





0.0 


2 


8.7 


23 


1 


16.7 





0.0 


1 


16.7 


6 


3 


7.3 





0.0 


11 


26.8 


41 





0.0 





0.0 


1 


33.3 


3 





0.0 





0.0 





0.0 


1 





0.0 





0.0 





0.0 


2 


1 


2.5 





0.0 


11 


27.5 


40 


18 


4.0 


5 


1.1 


123 


27.6 


445 





0.0 





0.0 


3 


37.5 


8 





0.0 





0.0 


21 


43.8 


48 


1 


2.9 





0.0 


14 


41.2 


34 





0.0 





0.0 


3 


60.0 


5 





0.0 





0.0 


4 


33.3 


12 





0.0 





0.0 


1 


20.0 


5 


2 


6.3 





0.0 


11 


34.4 


32 


3 


5.4 





0.0 


14 


25.0 


56 





0.0 





0.0 


3 


27.3 


11 





0.0 





0.0 


7 


70.0 


10 


1 


10.0 





0.0 


8 


80.0 


10 





0.0 





0.0 


3 


37.5 


8 


1 


8.3 





0.0 


2 


16.7 


12 





0.0 





0.0 





0.0 


2 





0.0 





0.0 


11 


36.7 


30 





0.0 





0.0 


11 


61.1 


18 


1 


2.0 





0.0 


12 


24.0 


50 


6 


9.X 


1 


1.6 


10 


16.4 


61 





0.0 





0.0 


2 


100.0 


2 





0.0 





0.0 


12 


52.2 


23 



NORTHWEST 



NORTHEAST 



SOUTHEAST 



ANDREW 

BUCHANAN 

CALDWELL 

CARROLL 

CASS 

CHARITON 

CLINTON 

COOPER 

DAVIESS 

DE KALB 

GENTRY 

GRUNDY 

HARRISON 

HOLT 

JOHNSON 

LAFAYETTE 

LINN 

LIVINGSTON 

MERCER 

NODAWAY 

PETTIS 

PUTNAM 

RAY 

SALINE 

SULLIVAN 

WORTH 

*REGION TOTAL* 

ADAIR 

AUDRAIN 

BOONE 

CALLAWAY 

CLARK 

COLE 

FRANKLIN 

GASCONADE 

HOWARD 

KNOX 

LEWIS 

LINCOLN 

MACON 

MARION 

MONROE 

MONTGOMERY 

PIKE 

RALLS 

RANDOLPH 

SCHUYLER 

SCOTLAND 

SHELBY 

WARREN 

♦REGION TOTAL* 

BOLLINGER 

BUTLER 

CAPE GIRARDEAU 

CARTER 

CRAWFORD 

DENT 

DUNKLIN 

HOWELL 

IRON 

MADISON 

MARIES 

MISSISSIPPI 

NEW MADRID 

OREGON 

PEMISCOT 

PERRY 

PHELPS 

PULASKI 

REYNOLDS 

RIPLEY 



Missouri Child Abuse/Neglect, 2008 



Page 41 



Appendix E. (continued) 

2008 Substantiated Incidents by Region, County and Category of Abuse/Neglect 



REGION 



COUNTY 



PHYSICAL 






EMOTIONAL 


ABUSE 




NEGLECT 


MALTREATMENT 


Number 


% 


Number 


% 


Number 


% 


21 


36.2 


25 


43.1 


3 


5.2 


3 


25.0 


4 


33.3 


1 


8.3 


9 


22.5 


4 


10.0 


1 


2.5 


1 


20.0 


2 


40.0 





0.0 


11 


26.2 


27 


64.3 


4 


9.5 


15 


42.9 


17 


48.6 


2 


5.7 


9 


25.0 


13 


36. 1 


5 


13.9 


1 


25.0 


3 


75.0 





0.0 


212 


31.7 


289 


43.2 


46 


6.9 


14 


35.9 


16 


41.0 





0.0 


7 


46.7 


8 


53.3 


1 


6.7 


7 


35.0 


8 


40.0 


2 


10.0 


7 


63.6 


5 


45.5 


3 


27.3 


22 


52.4 


18 


42.9 


1 


2.4 


5 


41.7 


3 


25.0 





0.0 


12 


27.9 


13 


30.2 


3 


7.0 


5 


55.6 


1 


111 





0.0 


8 


40.0 


7 


35.0 





0.0 


2 


13.3 


6 


40.0 





0.0 


54 


25.8 


99 


47.4 


19 


9.1 


4 


20.0 


5 


25.0 





0.0 


1 


16.7 


2 


33.3 





0.0 


29 


34.1 


34 


40.0 


2 


2.4 


19 


29.2 


31 


47.7 


2 


3.1 


12 


40.0 


13 


43.3 


2 


6.7 


10 


32.3 


16 


51.6 


1 


3.2 


13 


35.1 


21 


56.8 


1 


2.7 


4 


30.8 


6 


46.2 


3 


23.1 


12 


35.3 


9 


26.5 


5 


14.7 


21 


28.4 


41 


55.4 


7 


9.5 


2 


20.0 


4 


40.0 


2 


20.0 


9 


32.1 


15 


53.6 


2 


7.1 





0.0 


1 


33.3 





0.0 


7 


28.0 


9 


36.0 





0.0 


23 


36.5 


31 


49.2 


2 


3.2 


3 


30.0 


5 


50.0 





0.0 


13 


41.9 


13 


41.9 


1 


3.2 


7 


30.4 


12 


52.2 


3 


13.0 


332 


32.5 


452 


44.2 


62 


6.1 


38 


31.9 


39 


32.8 


2 


1.7 


190 


37.0 


177 


34.5 


26 


5.1 


18 


38.3 


16 


34.0 


3 


6.4 


246 


36.2 


232 


34.2 


31 


4.6 


49 


32.2 


74 


48.7 


6 


4.0 


49 


34.3 


64 


44.8 


11 


7.7 


133 


42.9 


104 


33.6 


14 


4.5 


105 


43.6 


88 


36.5 


7 


2.9 


336 


39.7 


330 


39.0 


38 


4.5 


39 


40.6 


26 


27.1 


1 


1.0 


39 


40.6 


26 


27.1 


1 


1.0 



SOUTHEAST 



SOUTHWEST 



KANSAS CITY 



ST. LOUIS 



OTHER 



ST FRANCOIS 

STE GENEVIEVE 

SCOTT 

SHANNON 

STODDARD 

TEXAS 

WASHINGTON 

WAYNE 

*REGION TOTAL* 

BARRY 

BARTON 

BATES 

BENTON 

CAMDEN 

CEDAR 

CHRISTIAN 

DADE 

DALLAS 

DOUGLAS 

GREENE 

HENRY 

HICKORY 

JASPER 

LACLEDE 

LAWRENCE 

MCDONALD 

MILLER 

MONITEAU 

MORGAN 

NEWTON 

OZARK 

POLK 

ST CLAIR 

STONE 

TANEY 

VERNON 

WEBSTER 

WRIGHT 

*REGION TOTAL* 

CLAY 
JACKSON 
PLATTE 
*REGION TOTAL* 

JEFFERSON 
ST CHARLES 
ST LOUIS COUNTY 
ST LOUIS CITY 
*REGION TOTAL* 

OUT HOME IN V 
♦REGION TOTAL* 



STATE TOTAL 



1.446 



35.0 



1,697 



41.1 



229 



Page 42 



Missouri Child Abuse/Neglect, 2008 



Appendix E. (continued) 

2008 Substantiated Incidents by Region, County and Category of Abuse/Neglect 



REGION 



COUNTY 



MEDICAL 


EDUCATIONAL 


NEGLECT 


NEGLECT 


Number 


% 


Number 


% 


1 


1.7 





0.0 





0.0 





0.0 





0.0 





0.0 





0.0 





0.0 


3 


7.1 





0.0 


5 


14.3 





0.0 





0.0 





0.0 





0.0 





0.0 


24 


3.6 


1 


0.2 


1 


2.6 





0.0 


1 


6.7 


1 


6.7 





0.0 





0.0 





0.0 





0.0 





0.0 


1 


2.4 





0.0 





0.0 





0.0 





0.0 





0.0 





0.0 


2 


10.0 


1 


5.0 





0.0 


1 


6.7 


10 


4.8 


2 


1.0 


1 


5.0 


1 


5.0 





0.0 





0.0 


1 


1.2 





0.0 


8 


12.3 


1 


1.5 


2 


6.7 





0.0 


2 


6.5 





0.0 


4 


10.8 


3 


8.1 





0.0 





0.0 


3 


8.8 


2 


5.9 


4 


5.4 





0.0 


1 


10.0 





0.0 


2 


7.1 





0.0 





0.0 





0.0 





0.0 





0.0 


2 


3.2 


1 


1.6 


1 


10.0 





0.0 


1 


3.2 


3 


9.7 





0.0 


1 


4.4 


46 


4.5 


18 


1.8 


1 


0.8 





0.0 


19 


3.7 


7 


1.4 


1 


2.1 


1 


2.1 


21 


3.1 


8 


1.2 


6 


4.0 





0.0 


2 


1.4 





0.0 


6 


1.9 


2 


0.7 


15 


6.2 


4 


1.7 


29 


3.4 


6 


0.7 


2 


2.1 





0.0 


2 


2.1 





0.0 







TOTAL 


SEXUAL 




SUBSTAN- 


MALTREATMENT 


TIATED 


Number 


% 


INCIDENTS 


23 


39.7 


58 


5 


41.7 


12 


28 


70.0 


40 


2 


40.0 


5 


8 


19.1 


42 


10 


28.6 


35 


19 


52.8 


36 


1 


25.0 


4 


248 


37.1 


669 


12 


30.8 


39 


2 


13.3 


15 


10 


50.0 


20 


3 


27.3 


11 


8 


19.1 


42 


3 


25.0 


12 


19 


44.2 


43 


4 


44.4 


9 


10 


50.0 


20 


7 


46.7 


15 


66 


31.6 


209 


10 


50.0 


20 


3 


50.0 


6 


37 


43.5 


85 


19 


29.2 


65 


11 


36.7 


30 


10 


32.3 


31 


9 


24.3 


37 


8 


61.5 


13 


12 


35.3 


34 


30 


40.5 


74 


3 


30.0 


10 


6 


21.4 


28 


2 


66.7 


3 


11 


44.0 


25 


25 


39.7 


63 


1 


10.0 


10 


7 


22.6 


31 


6 


26.1 


23 


354 


34.6 


1,023 


47 


39.5 


119 


171 


33.3 


513 


18 


38.3 


47 


236 


34.8 


679 


58 


38.2 


152 


42 


29.4 


143 


105 


33.9 


310 


64 


26.6 


241 


269 


31.8 


846 


30 


31.3 


96 


30 


31.3 


96 



SOUTHEAST 



SOUTHWEST 



KANSAS CITY 



ST. LOUIS 



OTHER 



ST FRANCOIS 

STE GENEVIEVE 

SCOTT 

SHANNON 

STODDARD 

TEXAS 

WASHINGTON 

WAYNE 

*REGION TOTAL* 

BARRY 

BARTON 

BATES 

BENTON 

CAMDEN 

CEDAR 

CHRISTIAN 

DADE 

DALLAS 

DOUGLAS 

GREENE 

HENRY 

HICKORY 

JASPER 

LACLEDE 

LAWRENCE 

MCDONALD 

MILLER 

MONITEAU 

MORGAN 

NEWTON 

OZARK 

POLK 

ST CLAIR 

STONE 

TANEY 

VERNON 

WEBSTER 

WRIGHT 

♦REGION TOTAL* 

CLAY 
JACKSON 
PLATTE 
*REGION TOTAL* 

JEFFERSON 

ST CHARLES 

ST LOUIS COUNTY 

ST LOUIS CITY 

*REGION TOTAL* 

OUT HOME IN V 
♦REGION TOTAL* 



STATE TOTAL 



1.2 



1,367 



33.1 



4,131 



Percent is the percentage of total substantiated incidents, 
to six categories of abuse/neglect. 



Percent total is greater than 100 because a substantiated incident may be assigned up 



Missouri Child Abuse/Neglect, 2008 



Page 43 



AppendixF. 

2008 Substantiated Children by Region, County and Category of Abuse/Neglect 



REGION 



COUNTY 



PHYSICAL 






EMOTIONAL 


ABUSE 




NEGLECT 


MALTREATMENT 


Number 


% 


Number 


% 


Number 


% 


l 


16.7 


2 


33.3 





0.0 


29 


22.8 


75 


59.1 





0.0 


2 


33.3 


4 


66.7 





0.0 


1 


25.0 


1 


25.0 





0.0 


16 


34.8 


14 


30.4 





0.0 


2 


7.1 


16 


57.1 


2 


7.1 


5 


26.3 


7 


36.8 


2 


10.5 


3 


15.0 


4 


20.0 


2 


10.0 


4 


28.6 


4 


28.6 


5 


35.7 


4 


33.3 





0.0 


2 


16.7 


1 


12.5 


6 


75.0 





0.0 


3 


30.0 


6 


60.0 





0.0 





0.0 


8 


80.0 





0.0 


4 


80.0 





0.0 





0.0 


7 


22.6 


13 


41.9 





0.0 


7 


16.3 


18 


41.9 


2 


4.7 


4 


19.1 


14 


66.7 


1 


4.8 


7 


31.8 


8 


36.4 





0.0 





0.0 


3 


75.0 





0.0 


4 


13.8 


14 


48.3 


2 


6.9 


13 


27.7 


17 


36.2 


2 


4.3 


2 


33.3 


3 


50.0 





0.0 


3 


23.1 


4 


30.8 





0.0 


11 


17.2 


3 1 


48.4 


4 


6.3 


1 


9.1 


8 


72.7 





0.0 





0.0 


1 


100.0 





0.0 


134 


22.1 


281 


46.3 


24 


4.0 


5 


33.3 


9 


60.0 





0.0 


9 


17.7 


25 


49.0 


4 


7.8 


29 


33.3 


28 


32.2 


1 


1.2 


13 


31.7 


14 


34.2 


9 


22.0 


2 


33.3 


3 


50.0 





0.0 


6 


20.0 


12 


40.0 





0.0 


27 


29.0 


41 


44.1 


1 


1.1 


1 


25.0 


1 


25.0 





0.0 


1 


25.0 


2 


50.0 





0.0 





0.0 





0.0 


3 


100.0 


5 


45.5 


1 


9.1 


1 


9.1 


25 


26.0 


40 


41.7 


17 


17.7 


3 


12.5 


15 


62.5 


1 


4.2 


12 


34.3 


10 


28.6 





0.0 





0.0 





0.0 





0.0 


7 


18.9 


21 


56.8 


2 


5.4 


4 


8.3 


33 


68.8 


4 


8.3 


2 


15.4 


8 


61.5 


1 


7.7 


14 


20.6 


38 


55.9 


1 


1.5 


3 


23.1 


6 


46.2 


2 


15.4 


1 


100.0 





0.0 





0.0 


1 


14.3 


3 


42.9 


3 


42.9 


19 


30.2 


29 


46.0 


3 


4.8 


189 


25.1 


339 


45.1 


53 


7.1 


3 


25.0 


5 


41.7 


1 


8.3 


7 


9.9 


33 


46.5 


7 


9.9 


17 


29.3 


25 


43.1 


1 


1.7 


2 


40.0 





0.0 





0.0 


8 


47.1 


5 


29.4 





0.0 


3 


42.9 


3 


42.9 





0.0 


10 


22.2 


14 


31.1 


7 


15.6 


26 


24.3 


58 


54.2 


4 


3.7 


g 


47.1 


6 


35.3 





0.0 


3 


15.0 


6 


30.0 





0.0 


2 


11.1 


3 


16.7 


3 


16.7 


2 


16.7 


4 


33.3 





0.0 


6 


30.0 


10 


50.0 





0.0 


1 


50.0 


1 


50.0 





0.0 


10 


25.6 


16 


41.0 





0.0 


5 


21.7 


5 


21.7 





0.0 


24 


27.3 


44 


50.0 


3 


3.4 


26 


21.1 


56 


45.5 


18 


14.6 





0.0 


3 


60.0 





0.0 


6 


18.2 


12 


36.4 


2 


6.1 



NORTHWEST 



NORTHEAST 



SOUTHEAST 



ANDREW 

BUCHANAN 

CALDWELL 

CARROLL 

CASS 

CHARITON 

CLINTON 

COOPER 

DAVIESS 

DE KALB 

GENTRY 

GRUNDY 

HARRISON 

HOLT 

IOHNSON 

LAFAYETTE 

LINN 

LIVINGSTON 

MERCER 

NODAWAY 

PETTIS 

PUTNAM 

RAY 

SALINE 

SULLIVAN 

WORTH 

*REGION TOTAL* 

ADAIR 

AUDRAIN 

BOONE 

CALLAWAY 

CLARK 

COLE 

FRANKLIN 

GASCONADE 

HOWARD 

KNOX 

LEWIS 

LINCOLN 

MACON 

MARION 

MONROE 

MONTGOMERY 

PIKE 

RALLS 

RANDOLPH 

SCHUYLER 

SCOTLAND 

SHELBY 

WARREN 

*REGION TOTAL* 

BOLLINGER 

BUTLER 

CAPE GIRARDEAU 

CARTER 

CRAWFORD 

DENT 

DUNKLIN 

HOWELL 

IRON 

MADISON 

MARIES 

MISSISSIPPI 

NEW MADRID 

OREGON 

PEMISCOT 

PERRY 

PHELPS 

PULASKI 

REYNOLDS 

RIPLEY 



Page 44 



Missouri Child Abuse/Neglect, 2008 



Appendix F. (continued) 

2008 Substantiated Children by Region, County and Category of Abuse/Neglect 



REGION 



COUNTY 















TOTAL 


MEDICAL 


EDUCATIONAL 


SEXUAL 




SUBSTAN- 


NEGLECT 


NEGLECT 


MALTREATMENT 


TIATED 


Number 


% 


Number 


% 


Number 


% 


CHILDREN 


1 


16.7 


l 


16.7 


l 


16.7 


6 


3 


2.4 


2 


1.6 


18 


14.2 


127 





0.0 





0.0 





0.0 


6 





0.0 





0.0 


2 


50.0 


4 


3 


6.5 


1 


2.2 


11 


23.9 


46 


3 


10.7 





0.0 


3 


10.7 


28 


1 


5.3 





().() 


4 


21.1 


19 





0.0 


5 


25.0 


6 


30.0 


20 


1 


7.1 





0.0 





0.0 


14 





0.0 





0.0 


6 


50.0 


12 





0.0 





0.0 


1 


12.5 


8 





0.0 





0.0 


1 


10.0 


10 





0.0 





0.0 


2 


20.0 


10 





0.0 





0.0 





0.0 


5 





0.0 





0.0 


10 


32.3 


31 


3 


7.0 


2 


4.7 


11 


25.6 


43 





0.0 





0.0 


1 


4.8 


21 





0.0 





0.0 


7 


31.8 


22 





0.0 





0.0 


1 


25.0 


4 





0.0 





0.0 


9 


31.0 


29 


1 


2.1 





0.0 


14 


29.8 


47 





0.0 





0.0 


1 


16.7 


6 


1 


7.7 


1 


7.7 


4 


30.8 


13 


2 


3.1 


11 


17.2 


5 


7.8 


64 





0.0 





0.0 


2 


18.2 


11 





0.0 





0.0 





0.0 


1 


19 


3.1 


23 


3.8 


120 


19.8 


607 





0.0 





0.0 


1 


6.7 


15 


1 


2.0 





0.0 


12 


23.5 


51 


1 


1.2 





0.0 


25 


28.7 


87 


2 


4.9 





0.0 


3 


7.3 


41 





0.0 





0.0 


1 


16.7 


6 


2 


6.7 





0.0 


10 


33.3 


30 





0.0 


2 


2.2 


21 


22.6 


93 





0.0 





0.0 


2 


50.0 


4 





0.0 





0.0 


1 


25.0 


4 





0.0 





0.0 





0.0 


3 


1 


9.1 





0.0 


3 


27.3 


11 


1 


1.0 





0.0 


13 


13.5 


96 


1 


4.2 





0.0 





0.0 


24 


2 


5.7 


3 


8.6 


8 


22.9 


35 





0.0 





0.0 





0.0 


2 


2 


5.4 


1 


2.7 


4 


10.8 


37 


2 


4.2 





0.0 


2 


4.2 


48 


1 


7.7 





0.0 


1 


7.7 


13 


4 


5.9 





0.0 


11 


16.2 


68 





0.0 





0.0 


2 


15.4 


13 





0.0 





0.0 





0.0 


1 





0.0 





0.0 





0.0 


7 


1 


1.6 





0.0 


11 


17.5 


63 


21 


2.8 


6 


o.x 


131 


17.4 


752 





0.0 





0.0 


3 


25.0 


12 





0.0 





0.0 


23 


32.4 


71 


1 


1.7 





0.0 


14 


24.1 


58 





0.0 





0.0 


3 


60.0 


5 





0.0 





0.0 


4 


23.5 


17 





0.0 





0.0 


1 


14.3 


7 


2 


4.4 





0.0 


12 


26.7 


45 


3 


2.8 





0.0 


15 


14.0 


107 





0.0 





0.0 


3 


17.7 


17 





0.0 





0.0 


11 


55.0 


20 


1 


5.6 





0.0 


9 


50.0 


18 





0.0 





0.0 


4 


33.3 


12 


1 


5.0 





0.0 


3 


15.0 


20 





0.0 





0.0 





().() 


2 





0.0 





0.0 


13 


33.3 


39 





0.0 





0.0 


13 


56.5 


23 


1 


1.1 





0.0 


15 


17.1 


88 


g 


6.5 


1 


0.8 


11 


8.9 


123 





0.0 





0.0 


2 


40.0 


5 





0.0 





0.0 


13 


39.4 


33 



NORTHWEST 



NORTHEAST 



SOUTHEAST 



ANDREW 

BUCHANAN 

CALDWELL 

CARROLL 

CASS 

CHARITON 

CLINTON 

COOPER 

DAVIESS 

DE KALB 

GENTRY 

GRUNDY 

HARRISON 

HOLT 

JOHNSON 

LAFAYETTE 

LINN 

LIVINGSTON 

MERCER 

NODAWAY 

PETTIS 

PUTNAM 

RAY 

SALINE 

SULLIVAN 

WORTH 

*REGION TOTAL* 

ADAIR 

AUDRAIN 

BOONE 

CALLAWAY 

CLARK 

COLE 

FRANKLIN 

GASCONADE 

HOWARD 

KNOX 

LEWIS 

LINCOLN 

MACON 

MARION 

MONROE 

MONTGOMERY 

PIKE 

RALLS 

RANDOLPH 

SCHUYLER 

SCOTLAND 

SHELBY 

WARREN 

♦REGION TOTAL* 

BOLLINGER 

BUTLER 

CAPE GIRARDEAU 

CARTER 

CRAWFORD 

DENT 

DUNKLIN 

HOWELL 

IRON 

MADISON 

MARIES 

MISSISSIPPI 

NEW MADRID 

OREGON 

PEMISCOT 

PERRY 

PHELPS 

PULASKI 

REYNOLDS 

RIPLEY 



Missouri Child Abuse/Neglect, 2008 



Page 45 



Appendix F. (continued) 

2008 Substantiated Children by Region, County and Category of Abuse/Neglect 



REGION 



COUNTY 



PHYSICAL 






EMOTIONAL 


ABUSE 




NEGLECT 


MALTREATMENT 


Number 


% 


Number 


% 


Number 


% 


24 


25.0 


40 


41.7 


4 


4.2 


6 


33.3 


6 


33.3 


1 


5.6 


11 


20.0 


10 


18.2 


1 


1.8 


1 


20.0 


2 


40.0 





0.0 


11 


14.9 


43 


58.1 


7 


9.5 


16 


25.0 


28 


43.8 


2 


3.1 


9 


15.0 


20 


33.3 


7 


11.7 


1 


10.0 


8 


80.0 





0.0 


248 


22.5 


466 


42.2 


68 


6.2 


16 


26.2 


32 


52.5 





0.0 


10 


26.3 


15 


39.5 


4 


10.5 


II) 


23.8 


17 


40.5 


4 


9.5 


9 


34.6 


8 


30.8 


5 


19.2 


26 


40.0 


28 


43.1 


2 


3.1 


5 


35.7 


4 


28.6 





0.0 


17 


24.6 


25 


36.2 


3 


4.4 


6 


50.0 


1 


8.3 





0.0 


9 


24.3 


10 


27.0 





0.0 


2 


10.5 


9 


47.4 





0.0 


72 


20.9 


148 


42.9 


32 


9.3 


4 


13.8 


9 


31.0 





0.0 


1 


10.0 


5 


50.0 





0.0 


45 


30.6 


59 


40.1 


2 


1.4 


25 


21.6 


54 


46.6 


4 


3.5 


18 


30.0 


24 


40.0 


3 


5.0 


11 


21.2 


26 


50.0 


2 


3.9 


14 


19.2 


37 


50.7 


1 


1.4 


6 


21.4 


10 


35.7 


4 


14.3 


14 


23.0 


22 


36. 1 


7 


11.5 


31 


20.5 


66 


43.7 


13 


8.6 


2 


12.5 


5 


31.3 


2 


12.5 


9 


22.0 


22 


53.7 


2 


4.9 





0.0 


1 


25.0 





0.0 


9 


25.0 


13 


36.1 





0.0 


25 


22.1 


54 


47.8 


2 


1.8 


3 


25.0 


7 


58.3 





0.0 


14 


24.6 


23 


40.4 


1 


1.8 


g 


23.5 


15 


44.1 


3 


8.8 


421 


23.8 


749 


42.4 


96 


5.4 


44 


27.3 


56 


34.8 


2 


1.2 


216 


27.3 


299 


37.8 


30 


3.8 


20 


28.2 


23 


32.4 


5 


7.0 


280 


27.3 


378 


36.9 


37 


3.6 


61 


21.8 


140 


50.0 


11 


3.9 


53 


21.8 


120 


49.4 


14 


5.8 


145 


32.7 


152 


34.3 


17 


3.8 


112 


29.7 


148 


39.3 


10 


2.7 


371 


27.6 


560 


41.7 


52 


3.9 


41 


30.6 


45 


33.6 


2 


1.5 


41 


30.6 


45 


33.6 


2 


1.5 



SOUTHEAST 



SOUTHWEST 



KANSAS CITY 



ST. LOUIS 



OTHER 



ST FRANCOIS 

STE GENEVIEVE 

SCOTT 

SHANNON 

STODDARD 

TEXAS 

WASHINGTON 

WAYNE 

♦REGION TOTAL* 

BARRY 

BARTON 

BATES 

BENTON 

CAMDEN 

CEDAR 

CHRISTIAN 

DADE 

DALLAS 

DOUGLAS 

GREENE 

HENRY 

HICKORY 

IASPER 

LACLEDE 

LAWRENCE 

MCDONALD 

MILLER 

MONITEAU 

MORGAN 

NEWTON 

OZARK 

POLK 

ST CLAIR 

STONE 

TANEY 

VERNON 

WEBSTER 

WRIGHT 

*REGION TOTAL* 

CLAY 
IACKSON 
PLATTE 
*REGION TOTAL* 

IEFFERSON 

ST CHARLES 

ST LOUIS COUNTY 

ST LOUIS CITY 

*REGION TOTAL* 

OUT HOME INV 
*REGION TOTAL* 



STATE TOTAL 



1.684 



25.0 



2,818 



41.9 



332 



4.9 



Page 46 



Missouri Child Abuse/Neglect, 2008 



Appendix F. (continued) 

2008 Substantiated Children by Region, County and Category of Abuse/Neglect 



REGION 



COUNTY 















TOTAL 


MEDICAL 


EDUCATIONAL 


SEXUAL 




SUBSTAN- 


NEGLECT 


NEGLECT 


MALTREATMENT 


TIATED 


Number 


% 


Number 


% 


Number 


% 


CHILDREN 


l 


1.0 





0.0 


25 


26.0 


96 





0.0 





0.0 


5 


27.8 


18 





0.0 





0.0 


33 


60.0 


55 





0.0 





0.0 


2 


40.0 


5 


4 


5.4 





0.0 


8 


10.8 


74 


5 


7.8 





0.0 


12 


18.8 


64 





0.0 





0.0 


23 


38.3 


60 





0.0 





0.0 


1 


10.0 


10 


27 


2.5 


1 


0.1 


281 


25.5 


1,104 


1 


1.6 





0.0 


12 


19.7 


61 


1 


2.6 


4 


10.5 


4 


10.5 


38 





0.0 





0.0 


11 


26.2 


42 





0.0 





0.0 


4 


15.4 


26 





0.0 


1 


1.5 


8 


12.3 


65 





0.0 





0.0 


4 


28.6 


14 





0.0 





0.0 


21 


30.4 


69 





0.0 





0.0 


5 


41.7 


12 


2 


5.4 


2 


5.4 


12 


32.4 


37 





0.0 


1 


5.3 


7 


36.8 


19 


13 


3.8 


2 


0.6 


75 


21.7 


345 


1 


3.5 


2 


6.9 


12 


41.4 


29 





0.0 





0.0 


4 


40.0 


10 


1 


0.7 





0.0 


40 


27.2 


147 


9 


7.8 


1 


0.9 


22 


19.0 


116 


3 


5.0 





0.0 


12 


20.0 


60 


2 


3.9 





0.0 


11 


21.2 


52 


6 


8.2 


6 


8.2 


9 


12.3 


73 





0.0 





0.0 


8 


28.6 


28 


3 


4.9 


2 


3.3 


13 


21.3 


61 


7 


4.6 





0.0 


34 


22.5 


151 


1 


6.3 





0.0 


3 


18.8 


16 


2 


4.9 





0.0 


6 


14.6 


41 





0.0 





0.0 


3 


75.0 


4 





0.0 





0.0 


12 


33.3 


36 


2 


1.8 


1 


0.9 


29 


25.7 


113 


1 


8.3 





0.0 


1 


8.3 


12 


1 


1.8 


5 


8.8 


10 


17.5 


57 





0.0 


1 


2.9 


7 


20.6 


34 


56 


3.2 


28 


1.6 


399 


22.6 


1,768 


1 


0.6 





0.0 


53 


32.9 


161 


26 


3.3 


12 


1.5 


188 


23.7 


792 


1 


1.4 


1 


1.4 


19 


26.8 


71 


28 


2.7 


13 


1.3 


260 


25.4 


1,024 


6 


2.1 





0.0 


62 


22.1 


280 


3 


1.2 





0.0 


49 


20.2 


243 


8 


1.8 


4 


0.9 


114 


25.7 


443 


17 


4.5 


10 


2.7 


78 


20.7 


377 


34 


2.5 


14 


1.0 


303 


22.6 


1,343 


2 


1.5 





0.0 


44 


32.8 


134 


2 


1.5 





0.0 


44 


32.8 


134 



SOUTHEAST 



SOUTHWEST 



KANSAS CITY 



ST. LOUIS 



OTHER 



ST FRANCOIS 

STE GENEVIEVE 

SCOTT 

SHANNON 

STODDARD 

TEXAS 

WASHINGTON 

WAYNE 

♦REGION TOTAL* 

BARRY 

BARTON 

BATES 

BENTON 

CAMDEN 

CEDAR 

CHRISTIAN 

DADE 

DALLAS 

DOUGLAS 

GREENE 

HENRY 

HICKORY 

JASPER 

LACLEDE 

LAWRENCE 

MCDONALD 

MILLER 

MONITEAU 

MORGAN 

NEWTON 

OZARK 

POLK 

ST CLAIR 

STONE 

TANEY 

VERNON 

WEBSTER 

WRIGHT 

*REGION TOTAL* 

CLAY 
JACKSON 
PLATTE 
♦REGION TOTAL* 

JEFFERSON 

ST CHARLES 

ST LOUIS COUNTY 

ST LOUIS CITY 

♦REGION TOTAL* 

OUT HOME IN V 
♦REGION TOTAL * 



STATE TOTAL 



187 



2.8 



85 



1.3 



1,538 



22.9 



6,732 



Percent is the percentage of total substantiated children, 
six categories of abuse/neglect. 



Percent total is greater than 100 because a child may be found substantiated for up to 



Missouri Child Abuse/Neglect, 2008 



Page 47 



Appendix G. 

Substantiated Child Abuse/Neglect Fatalities by Year of Death, Region, and County 



REGION 



COUNTY 



2004 



2005 



2006 



2007 



2008 



NORTHWEST 



NORTHEAST 



SOUTHEAST 



SOUTHWEST 



BUCHANAN 

CARROLL 

CASS 

CLINTON 

COOPER 

DAVIESS 

GRUNDY 

JOHNSON 

NODAWAY 

PETTIS 

RAY 

SALINE 

SULLIVAN 

♦REGION TOTAL* 

AUDRAIN 

BOONE 

CALLAWAY 

COLE 

FRANKLIN 

GASCONADE 

HOWARD 

LEWIS 

LINCOLN 

MONROE 

OSAGE 

PIKE 

RALLS 

RANDOLPH 

WARREN 

♦REGION TOTAL* 

BUTLER 

CAPE GIRARDEAU 

DUNKLIN 

HOWELL 

IRON 

MISSISSIPPI 

NEW MADRID 

PHELPS 

PULASKI 

REYNOLDS 

ST. FRANCOIS 

STE. GENEVIEVE 

SCOTT 

SHANNON 

STODDARD 

TEXAS 

WASHINGTON 

♦REGION TOTAL* 

BARTON 

BATES 

CAMDEN 

CEDAR 

CHRISTIAN 

DOUGLAS 

GREENE 

HENRY 

JASPER 

LACLEDE 

LAWRENCE 

MCDONALD 

MILLER 

NEWTON 

OZARK 

STONE 

TANEY 

VERNON 

WEBSTER 

WRIGHT 

♦REGION TOTAL* 



3 


1 


1 


1 


1 





1 














1 





1 


1 





1 

















1 








() 





1 














1 

















2 





1 

































































1 








4 


4 


5 


4 


2 




















1 








1 


























1 





























1 














1 











1 








1 





1 





1 









































1 














1 





1 














1 





1 








3 


1 


3 


5 


2 





2 





























1 











2 





1 























1 


























1 








1 





1 


1 


2 








1 











1 








1 





1 


























1 

















1 








1 














1 








2 








1 








4 


8 


4 


3 


5 





1 


























2 





1 


2 























1 




















1 





4 


5 


2 


1 
































1 








1 


2 





























1 





1 





1 


2 


1 











3 


1 

















1 














3 


1 





1 


1 





























1 

















11 


8 


5 


13 


5 



Page 48 



Missouri Child Abuse/Neglect, 2008 



Appendix G. (continued) 

Substantiated Child Abuse/Neglect Fatalities by Year of Death, Region, and County 



REGION 



COUNTY 



2004 



2005 



2006 



2007 



2008 



KANSAS CITY 



ST. LOUIS 



OTHER 



CLAY 
JACKSON 
PLATTE 
*REGION TOTAL* 

JEFFERSON 
ST. CHARLES 
ST. LOUIS COUNTY 
ST. LOUIS CITY 
*REGION TOTAL* 

AREA OFFICE 
OUT HOME INV 
*REGION TOTAL* 






1 


2 


2 


1 


8 


3 


6 


4 


7 


1 








1 





9 


4 


8 


7 


8 


2 


2 





2 


3 





1 





1 





4 


2 





8 


2 


4 


1 


2 


3 


2 


10 


6 


2 


14 


7 

















1 


1 








1 


1 


1 








1 



STATE TOTAL 



42 



32 



27 



46 



30 



Missouri Child Abuse/Neglect, 2008 



Page 49